Delivery report of the Leica M525 OH4 surgical microscope
33
Leica M525 OH4 / Ref. 10 714 368 / Version A
Delivery report of the Leica M525 OH4 surgical microscope
Assembly and functional testing of the Leica M525 OH4 surgical microscope were carried out properly in accordance with the reg-
ulations contained in the assembly instructions.
Name and address of the customer
Representative of Leica Microsystems (Schweiz) AG
Name
Address
Acknowledged Signature
Location Date
This delivery report is to be filled out by the responsible Leica representative.
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