Revision: 1.0 Date: 1999-09-01
Parts Order
Distributor:………………........….. Order # ……………………………
Delivery Terms: ( ) CIP ..................... Delivery Address:
( ) FCA
( )
FOB .......................................................
......................................................
.
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.
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.
Warranty ( ) Yes ( ) No
Product Serial number
........................................................... .................................................
.......................................................... ..................................................
........................................................... .................................................
Product Drawing # Part Number Part Name Qty
...................... .................... ........................... .............................. .......
....................... .................... ........................... .............................. ......
...................... .................... ........................... .............................. .......
...................... .................... ........................... .............................. .......
Remark:
Please refer to the spare part kit for all the information that are to be filled out
above.
Date Place Signature Company
Stamp
............................ ............................ .....................................
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