Warranty Certificate
Form N4-Guarantor
Manufacturer: UBS Cool-B, LLC
“Refrigeration Equipment Plant”
309255, village Novaya Tavolzhanka, w/o No. Pionerskaya Str.,
Belgorod region, Shebekinsk district, Russia
Series В
Identification No. 3120083886
Warranty Certificate N0
Filled by the Manufacturer (Seller)
Device name in accordance with specification, brand
Chest Freezer Factory No.
Device date of manufacture
Manufactured according to
Manufacturer's Quality Control stamp
(Surname, first name, patronymic of the responsible person of the manufacturer (seller)) (Signature)
Stamp here
Filled by the Seller
Seller
(Company, organization name, legal address)
Sale date
(Year, month, date)
(Surname, first name, patronymic of the responsible person of the seller) (Signature)
Stamp here
26
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