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ProphyCair & Pro
Version: 01
Delivery Log
ORDER NUMBER:
CUSTOMER:
MODEL NUMBER:
SERIAL NUMBER:
DELIVERY DATE:
DELIVERED BY:
I HEREBY CONFIRM THAT THE PERSONNEL HAS BEEN FAMILIARISED WITH THE CORRECT OPERATION OF
THE MATTRESS SYSTEM.
DATE:_____________________________
CUSTOMER’S SIGNATURE AND SEAL:_____________________________
SUPPLIER’S SIGNATURE AND SEAL:_____________________________
