Dräger Interlock 5000 / 7000 19
Installation certificate
11 Installation certificate
I, the undersigned:
certify that the installation of the breath-alcohol-controlled vehicle immobilizer described below has been
carried out by myself pursuant to the fitting instructions supplied by the manufacturer of the system.
Description of the vehicle:
Make:
Type:
Serial Number:
Registration Number:
Description of the breath alcohol controlled vehicle immobilizer:
Make: Dräger
Type: Dräger Interlock
®
5000 / 7000
Approval number: 10 R - 057310
Installation:
Installer's full address (and stamp, if appropriate):
Signature:
Position:
Place: Date:
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