5708 07.201
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Cåðèéíûé íîìåð èçäåëèÿ
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)______________________
Pârdevçjs /
Ïpoäaâeö
_____________________________
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/ ôàìèëèÿ, ïîäïèñü)
Pârdoðanas datums /
Äaòa ïpoäaæè
“___“_____________20___
V
eikala spiedogs
Øòaìï ìaãaçèía
Apkalpoðanas talona pasaknis
Êîðåøîê ãàðàíòèéíîé êàðòû
Apkalpoðanas talons Nr.
Ãàðàíòèéíàÿ êàðòà N¹
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ýëåêòðè÷åñêîãî IE-5708C
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uz maríçðanas uzlîmes /
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Pirkuma datums
Äaòa ïîêóïêè “_____”____________________20___
Kases èeka numurs
Íîìåð êàññîâîãî ÷åêà ___________________________
Tirdzniecîbas organizâcijas nosaukums un adrese
Íàèìåíîâàíèå è àäðåñ òîðãóþùåé îðãàíèçàöèè
_____________________________________________
Adrese, telefons, fakss, e-mail / Àäðåñ, òåëåôîí, ôàêñ, e-mail
_______________________________________________
Spiedoga vieta
Ìåñòî øòàìïà
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Ïðîäàâåö
Uzvârds
, ôàìèëèÿ / paraksts, ïîäïèñü
Îpaðnieks ____________________________________
Bëaäeëeö
Uzvârds
, ôàìèëèÿ / paraksts, ïîäïèñü
_____________________________________________
Adrese, telefons, fakss, e-mail / Àäðåñ, òåëåôîí, ôàêñ, e-mail
2
REBIR RSEZ AS, Viïakas ielâ 4, Rçzekne
,
LV-4604, Latvija,
tel. 64632913, fakss 64633405, e-mail: [email protected]
REBIR
RSEZ AS, óë. Âèëÿêàñ, 4, Ðåçåêíå, LV-4604,
Ëàòâèÿ,
òåë. +37164632913, ôàêñ +37164633405,
e-mail: [email protected]
