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ÍÀ ÃÀÐÀÍÒÈÉÍÛÉ ÐÅÌÎÍÒ
ÎÁÎÃÐÅÂÀÒÅËÜ ÝËÅÊÒÐÈ×ÅÑÊÈÉ ÁÛÒÎÂÎÉ
ÝÐÃ ____________________________________________________
Èçãîòîâëåí _____________________________________________
Çàâîäñêîé ¹ ___________________________________________
Ïðîäàí ìàãàçèíîì ¹ ____________________________________
íàèìåíîâàíèå
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àäðåñ
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Øòàìï ìàãàçèíà_________________________________________
Âëàäåëåö è åãî àäðåñ_____________________________________
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Âûïîëíåíû ðàáîòû ______________________________________
“_____” ______________________ìåõàíèê öåõà_______________
äàòà
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Âëàäåëåö _______________________________________________
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Óòâåðæäàþ çàâ. öåõà______________________________________
ïîäïèñü
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íàèìåíîâàíèå ïðåäïðèÿòèÿ, âûïîëíèâøåãî ðåìîíò
ÊÎÐÅØÎÊ ÒÀËÎÍÀ ÍÀ ÃÀÐÀÍÒÈÉÍÛÉ ÐÅÌÎÍÒ
ÎÁÎÃÐÅÂÀÒÅËß ÝËÅÊÒÐÈ×ÅÑÊÎÃÎ ÁÛÒÎÂÎÃÎ ÝÐÃ
ÌÏ
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ïîäïèñü