To:
Sender:
Fax no.
Your order no.
_________________
Date
_______________
Machine type
_________________
Serial number
_______________
Designation
Item no.
Qty.
PTFE strip on upper guide rail
6.105.178
PTFE strip on lower guide rail
6.105.177
PTFE strip heating die
6.105.125
Plastic pressure roller
2.230.008
Toothed belt, drive
6.271.002
Toothed belt, transport sealing material
6.271.001
1 roll of sandwich labels 55x33
(1000 pcs.)
LABEL STEAM
6.812.066
1 roll of sandwich labels 55x33
(1000 pcs.)
LABEL STEAM/FORM
6.812.067
1 roll of sandwich labels 55x33
(1000 pcs.)
LABEL STEAM/ETO
6.812.068
1 roll of sandwich labels 55x33
(1000 pcs.)
LABEL H2O2
6.812.069
1 roll of sandwich labels 60x44
(1000 pcs.)
LABEL XL
6.812.064
Ink ribbon for ValiPrint printer
6.813.300
Patient folders
9.030.035
Signature __________