Retailer name and address: . . . . . . . . . . . . . . . . . . . . . . . . . . . / Nom et adresse du vendeur /Nombre y dirección del minorista / Nome e endereço do revendedor / Nome e indirizzo del negozzio / Name
und Anschrift des Händlers / Naam en adres van de dealer / Forhandler navn & adresse / Återförsäljarens namn och adress / Forhandler navn og adresse / Jälleenmyyjän nimi ja osoite / Nazwa i adres
sprzedawcy / Numele şi adresa vânzătorului / Parduotuvės pavadinimas ir adresas / Müüja kauplus ja aadress / Naziv in naslov trgovine / Tipusszám / Názov a adresa predajcu / Veikala nosaukums un
adrese / Naziv i adresa maloprodaje / Naziv i adresa prodavca/ Naziv i adresa prodajnog mjesta / Nume şi adresă vânzător / Název a adresa prodejce / Nama dan alamat peruncit / Nama Toko Penjual dan
alamat / Tên và địa chỉ cửa hàng bán/ Satıcı firmanın adı ve adresi / Название и адрес продавца / Назва і адреса продавця / Търговки обект / Назив и адреса на продавницата / Сатушының аты және
мекен-жайы / Επωνυμία και διεύθυνση καταστήματος/ Վաճառողի անվանումը և հասցեն / //零售商的店名和地址/販売店の名前、住所/소매점이름과주소/ ﻭ ﺔﺋﺰﺠﺘﻟﺍ ﻊﺋﺎﺑ ﻢﺳﺍ
Date of purchase: . . . . . . . . . . . . . . . . . . . . . . . . . / Date d'achat / Fecha de compra / Data da compra / Data d'acquisto / Kaufdatum / Aankoopdatum / Købsdato / Inköpsdatum / Kjøpsdato / Ostopäivä /
Data zakupu / Data vânzării / Įsigijimo data/ Ostukuupäev / Datum nakupa / Sorozatszám / Dátum nákupu / Pirkuma datums / Datum Kupovine / Datum kupnje / Data cumpărării / Datum nákupu / Tarikh
pembelian / Tanggal pembelian / Ngày mua hàng / Satın alma tarihi / Дата продажи / Дата на закупуване / Датум на купување / Сатылған мерзімі / Ημερομηνία αγοράς /Վաճառքի օրը /
購買日期/購入日/구입일자/ﻱﺮﺧ ﺦﻳﺭﺎﺗ /ءﺍﺮﺸﻟﺍ ﺦﻳﺭﺎﺗr
Product reference: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . / Référence du produit / Referencia del producto / Nome do produto / Tipo de prodotto / Typnummer des Gerätes / Artikelnummer van het
apparaat / Referencenummer / Produktreferens / Artikkelnummer / Tuotenumero / referencja produktu / Model / Gaminio numeris / Toote viitenumber / Tip aparata / Vásárlás kelte / Typ výrobku / Produkta
atsauces numurs / Model proizvoda /Oznaka proizvoda / Cod produs / Produk rujukan / Referensi produk / Mã sản phẩm/ Ürün kodu / Модель / Модель / Модел на уреда / Моделi / Κωδικός προιόντος
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