13
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“
D
E
TA
-AP-
10
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ELIS Research & Development Enterprise LLC
4 offi
ce 2408, Savelkinskiy Pr., Zelenograd
Moscow Russia, 124482
Tel.: +7 (495) 981-91-60, +7 (495) 981-91-62
Coupon No. 1 for warranty repairs to the device
“DETA-AP-10”
Serial No.
Sale shop
(name of trading organization)
Shop seal
(signature)
Owner’s name and address
Signature
Works carried out to eliminate the fault:
Repairs carried out by
(date) (signature)
Owner
(signature)
Repair company
Company seal
201
Authorized individual
(signature)
