Leica RM2235 Instructions For Use Manual page 75

Yes No
Important - to avoid refusal of shipment:
Place one copy in the unit prior to packaging, or hand it over to the service engineer. Customer assumes all responsibility for the
immediate return shipment of articles sent to Leica without proper decontamination documentation.
If you have any further questions, please call your local Leica organization.
Leica Internal Use: If applicable, note corresponding Job and RAN-/RGA-Number:
Job Sheet No.: _______________
*
Signature/Date
*
Name
*
Position
eMail
Leica Biosystems Nussloch GmbH
Heidelberger Str. 17-19
69226 Nussloch, Germany
Leica Biosystems Nussloch GmbH
Heidelberger Str. 17-19
69226 Nussloch, Germany
Phone: ++49 62 24 1430
Fax: ++49 6224 143268
Web: www.LeicaBiosystems.com
Leica RM2235
If no**, please indicate why not:
**
Such equipment must not be returned without the written agreement of Leica Biosystems.
3
The equipment has been prepared to ensure safe handling/transportation.
Whenever possible, please use the original transportation case/box.
BU Return Authorization Number: ______________
Phone: ++49 (0) 6224 143 0
Fax: ++49 (0) 6224 143 268
www.LeicaBiosystems.com
10. Decontamination Certificate
SU Return Goods Authorization: ______________
Institute*
Department*
Address*
Phone*
(Master)
Fax
73