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15
List Any Items Missing From Shipment:
Quantity
Part Number
Description
Customer request/comments:
With the exception of any items listed above, the Biodex System has been completely installed
satisfactorily and is functioning properly. The Biodex representative has instructed the facility
on startup, hardware and software. The facility is capable of proper operation of the Biodex
System.
BIODEX REPRESENTATIVE:
DATE:
(Signature)
CUSTOMER REPRESENTATIVE:
DATE:
(Signature)
BIODEX CORPORATE REPRESENTATIVE:
DATE:
(Signature)
Immediately Copy and Fax These Forms To:
631-924-9338
Biodex Medical Systems, Inc.
20 Ramsay Road
Shirley, New York 11967-4704
Содержание 840-000,
Страница 7: ...7 Figure 1 1 Multi Joint System Cart and Monitor from the Rear...
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