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Omnex T110c - Revision History; Customer Sign-Off on Requirements and Label

Omnex T110c
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T110 Configuration and Options 8 of 8
Ph# 1-800-663-8806
www.omnexcontrols.com
Revision History
Revision
Number
Changed by Date Change Details—Describe in detail exactly what has
changed from the previous revision.
2
Customer Sign-Off on Requirements and Label
A sign-off of this configuration document and label (following page) is required before an order can be entered. The sign
off is only required after the configurator is completed, reviewed and a label has been created and attached. Please print
this page, fax (604-944-9267) or scan and email the signed document to your sales representative.
Proposal #_____________ (to be completed by OMNEX)
I _____________________, on behalf of ___________________, declare that all system requirements, I/O functionality
(Name) (Company)
and logic, and label artwork (following page), as defined in this document, are correct, and that all OMNEX safety fea-
tures available for this system have been explained and are understood.
_____________________________
(Signature)