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___________________________________________________________________________

PROFORMA INVOICE
Date:________

Sender: To: BSR SVENSKA AB


Deltavagen 9
35245 Vaxjo
SWEDEN

Return number: _____

PARTS RETURNED UNDER WARRANTY:


Art: 503202 PPC Warranty/Repair ___Pcs 50SEK

Art: 5032999 ECU Warranty/Repair ___Pcs 50SEK

Total for customs: ____ SEK

Country of origin: Sweden


Electronics / SE87089998

GOODS ARE RETURNS FOR WARRANTY AND HAVE NO


COMMERCIAL VALUE

Postadress: Adress: Tel/Fax:


BSR Svenska AB BSR Svenska AB Tel: +46 (0)470 70 96 70 Reg. nr: 556501-7372
Box 8041 Deltavagen 9 Fax: +46 (0)470 70 96 75 Vat. nr: SE 556501737201
350 08 Vaxjo 35245 Vaxjo E-mail: info@bsr.se
Sweden Sweden WWW: www.bsr.se

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