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Stempel und Unterschrift des Händlers / Kaufdatum
Dealerstempel / Koopdatum
Stamp and Signature of Dealer / Date of purchase
Cachet et signature du revendeur / Date d’achat
Sello y fi rma del comerciante / Fecha de la compra
Timbro e data del rivenditore / data d’acquisto
Assinatura e carimbo do distribuidor / Data de compra
A kereskedö bélyegzöje és alaírása / Vásárlás idöpontja
Pieczątka i podpis sprzedawcy / Data zakupu
Штамп и подпись продавца / дата покупки
Myyjän leima ja allekirjoitus / Ostopäivämäärä
Pečiatka a podpis predajcu / Dátum kúpy
Razítko a podpis prodejce / Datum koupě
Žig in podpis prodajalca / Datum nakupa
经销商的盖章和署名/ 购买日期
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© Meßner GmbH & Co. KG · Gewerbegebiet Echternhagen 7 · D - 32689 Kalletal
130 / 000716 · 08/11
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