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Bijgaand (retour) onderdeel is afkomstig
uit cv-ketel:
model* bouwjaar/serienr.* Identificatienr.*
Remeha Avanta 2005X39382317 00BL3253
Installatiedatum van de cv-ketel juni 2005
Omschrijving (retour) onderdeel soort Merk type
Driewegklep Elbi VC 1650/1000
Klachtomschrijving motor reageert niet
Omschrijving (retour) onderdeel soort Merk type
Klachtomschrijving
Omschrijving (retour) onderdeel soort Merk Type
Klachtomschrijving
Uw gegevens
Naam bedrijf Janssen
Adres Pietstraat 1, 9000 AA, Apeldoorn
Telefoon 055 – 1234567
Referentie Hr. Gerrits
Uw ordernummer 530002004
Werknummer -
Projectnummer 14 (Kanaalflats)
tabel 13 Retourformulier voorbeeld
* Deze gegevens zijn te vinden op de typeplaat van de ketel;
de typeplaat is tegen de onderkant van de ketel geplakt.
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