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["WILHELM STOLL",{"$nulls":4},"Wniosek gwarancyjny",null,"(STOLL-Nr.)"]
["MASCHINENFABRIK GmbH",{"$nulls":4},"warranty claim no.:",null,"(no.from STOLL)"]
["Bahnhofstraße 21"]
["D-38268 Lengede/Broistedt"]
["Tel.: 05344/20132 Fax: 05344/20137"]
["E-Mail-Adresse: kd@stoll-jf.de"]
["Wnioskodawca / Applicant:",null,null,"Klient / Customer:",null,"Nr. maszyny /Machine No.:"]
[{"$nulls":5},"Maszyna / Typ.:"]
[{"$nulls":5},"Rok budowy / Year of production:"]
[{"$nulls":5},"Pierwsze uruchom. / First operation:"]
["Fax-Nr. / Fax no.:",null,null,"Wasz nr. wniosku/your claim no.:",null,"Godzin/Hektarów / Operation hour:"]
["STOLL-Nr. klienta/STOLL-customer-no.",{"$nulls":4},"Data uszkodzenia / Date of failure:"]
[{"$nulls":5},"Data naprawy / Date of repair:"]
[{"$nulls":5},"Przy ładowaczu czołowym podać typ ciągnika:"]
["Reklamacja / Complant:",{"$nulls":4},"Frontlader only: Type of tractor"]
[{"$nulls":5},"Dostarczono z rachunkiem / supplied with invoice no.:"]
[]
[]
["Czynności zaradcze wg kart pracy nr. / Remedies according to jobcard no.:"]
[]
[]
[]
[]
[]
[]
["Zużyte części zamienne z rachunku nr. /",{"$nulls":5}," CZĘŚCI USZKODZONE ODSYŁAĆ"]
["Parts usage from invoice No.:",{"$nulls":5},"  TYLKO NA ŻĄDANIE"]
["Sztuk","Opis części",null,"Nr. katalogowy (podawać obowiązkowo)",null,"Bruttopreis","Nie wypełnia wnioskodawca"]
["Quantity","Description",null,"spare parts no. (please always state)",null,"gross price","Not to be filled in from the applicant:"]
[]
[{"$nulls":6},"Uwagi: / Comment:"]
{"$rows_empty":9}
["Godziny montażu/ labour time (hours):"]
[]
[]
[]
["Data / Date:",null,"Pieczątka i podpis / stamp/signature:",null,null,null,"Data:","Podpis"]
["Załatwienie wniosku gwarancyjnego następuje zgodnie z naszymi warunkami gwarancji."]
["These warranty claim will be dealed in accordance to our warranty conditions."]

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