MAZ 631236 - Page 95

Appendix 1
Extent of the warranty, the order of making claim and drawing up necessary documents are
specified in the contract of purchase and sale for the truck.
In case of failure fill the certificate according to the form proposed and forward to the Seller
City ……………..……
WARRANTY CLAIM № ……………..
Date ……………………
Trade organization name, address
…………………………………………………….
Model
…………………………………………
Chassis :
……………………………………
Engine …………………………………
Repair station, address
………………………………..…………………..
Speedometer indication on the moment
of defect detection……… km..........
Delivery date Date of putting into operation
Routine maintenance carried out:
Date ……………..
Run …………..
Date ……………..
Run …………..
Date ……………..
Run …………..
Date ……………..
Run …………..
Defect description, reasons of its origin, features:
Substituted parts, units
Name Catalogue № Quantity Price per
unit
Sum Repair cost
1.
2.
3.
4.
5.
Date of product coming for repair
Date of product returning from repair
Conclusion:
Buyer’s authorised
representative for repair
Seller’s authorized representative
in the Buyer’s country
Date Signature Date Signature
Seal Seal