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User Manual FireCR Dental TM-801-EN Appendix I Installation Report Please complete this report at the time of installation and submit the completed form signed by customer to: Fax : +82-42-931-2299 E-mail : [email protected] Date of Installation : Customer Information Hospital / Institute Name Address Tel Fax E-mail Installer Information Company Name Address Tel Fax E-mail System Information Model System S/N FireCR Dental Reader Installer’s Signature: Date: Customer’s Signature: Date: 45