Dräger Interlock XT

33
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
®
XT
Approval number: KBA 9724
Done at: on:
Installer's full address (and stamp, if appropriate):
Signature:
Position: