Capenergy C 50 User Manual page 81

Diathermy equipment
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NOTIFICATION OF BREAKDOWN
DETAILS FOR IDENTIFICATION
Contact person
Trade name
(Fiscal) Identification nº
Address / City
Telephone
Model
Date of purchase
DETECTED BREAKDOWN or ANOMALY
Shipment confirmation
Date / Stamp / Signature
Send by e-mail to
BY THE CLIENT
E-mail
Serial number
Sold by
TAS ID nº
info@capenergy.com
User Manual
Page 81 of 95
Confirmation of reception
Date / Stamp / Signature
or by Fax : +34 (93) 477.42.90

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C 100C 200C 300C 400C 500

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