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*) The owner of the equipment making claims under the guarantee is obliged to
provide personal data in accordance with Art. 23 paragraph 1 point.3 of the Personal
Data Protection Act of 29.07.1997, as amended. D
I hereby confirm the reception of the device according to the following specifications
on........................
The received device is complete and in accordance with the order.
1
COLLECTION PROTOCOL
Order specification
size I
Pieces
15
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