Dräger Interlock 7500 - Installation certificate

Installation certificate |
Instructions for use | Dräger Interlock
®
7500 31
12 Installation certificate
49849
The undersigned:
hereby confirms that the installation of the breath alcohol ignition interlock device described
below has been carried out in accordance with the manufacturer’s installation instructions.
Vehicle description:
Make:
Model:
Serial number:
Registration number:
Description of breath alcohol ignition interlock device:
Make:
Model:
Type-approval number:
Installation:
Signature:
Service:
Place: Date:
Installer’s full address (with stamp where applicable):
Dräger
Dräger Interlock® 7500
E 1
10 R - 057310