Blank Data Sheet

Company: ___________________________________________________ Data: ___/____/_____

Sales Office __________________________________________________ DIA/MES/ANO)

OUTLET DETAILS – (Detalhes do Cliente)

Número do Cliente: _____________________________Account/ Rep: ____________________________________

Nome do alvará:________________________________________________________________________________

Nome do proprietário:____________________________________________________________________________

Nome do estabelecimento:________________________________________________________________________

Endereço (Av./Rua; Bairro; Cidade): ________________________________________________________________

______________________________________________________Província: _______________________________

Distrito/Localidade: _____________________________________ NUIT do Cliente: _________________________

Pessoa de Contacto: _____________________________________Telefone N°: _____________________________

Tag N°_____________________________________________ ___________________________________________

EQUIPMENT DETAILS
Local do Tag: ___________________________________________________________________________________

EQUIPMENT DETAILS (Detalhes da Geleira)

NO MAKE: MODEL: SERIAL NO. ASSET NO. TAG NO.
01____________________________________________________________________________________________

02____________________________________________________________________________________________

03____________________________________________________________________________________________

04____________________________________________________________________________________________

VERIFICATION DETAILS NÚMERO TOTAL DE GELEIRAS DA EMPRESA

On behalf of Processed by:

Company
Name Sign Date
Sheet Id:
On behalf of
Customer Name
Name Sign Date
Date