GUARANTEE CERTIFICATE
101
1
2
3
4
5
Date of reception
of the guarantee
claim by the seller
Number of the
guarantee claim
report
Date of reception
of the device into
the repair shop
Date of
completion of the
repair by the
repair shop
Number of the
receipt form of
the repair shop
Guarantee repair
YES - NO
YES - NO
YES - NO
YES - NO
YES - NO
New serial
number of the
device (IMEI)
Comments
Stamp of the
repair shop
LUCOM GmbH * Ansbacher Str. 2a * 90513 Zirndorf * Tel. 09127/59 460-10 * Fax. 09127/59 460-20 * www.lucom.de