User Manual
Excel Extice
Page 24
MANUFACTURERS DECLARATION OF CONFORMITY
For
Product identification
Product : Electrically propelled scooter
Brand : Excel
Model/type : Excite 4
Version : A
Manufacturer : Name Van Os Medical BV
Address Koperslagerij 9
4651 SK STEENBERGEN
Country The Netherlands
EU representative Name Van Os Medical BV
W. Van Os
Koperslagerij 9
Address 4651 SK Steenbergen
Country The Netherlands
Function: Director
Technical constructed file
Prepared by : Name P. van Os
Function : research and development
Date : 01-10-2006
TCF : 01-10-2006
Means of conformity
The product is in conformity with Directive 93/42/EEG based on the use of a Technical construction file
in accordance with Article 9 (Class I products) of the Directive
Signature of EU representative :
Place : Steenbergen
Date : 01-10-2006
Number : VOS.TCF.EX.01
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