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DISTRIBUTION CHAIN PARTICIPANT / IDENTIFICATION CHART
Date of sale (day, month, year): Name (block letters), phone number, stamp and signature of the seller:
__.___.________
Product identification label:
Importer / EU-distributor (stamp):
Point of Sale / Service partner (stamp):
Importer / EU-distributor :
(name, address, contact info)
Point of Sale / Service partner :
(name, address, contact info)
PATRON Bohemia a.s.
Českolipská 3419, Mělník, CZ
( www.patron.eu )
Manufacturer—product final inspection / name:
Signature:
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