Ami Pro - 6.SAM

CERTIFICATE - CERTIFICAT - CERTIFICADO
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Name/Nom/ Apellido
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Passport No./ Passeport Nà/ Pasaporte No.
English: To whom it may concern.
This is to certify that the above
traveller has been supplied with
this medical equipment for
personal use only in the event of
illness, accident or emergency. It
has no commercial value.
Franc ais: A qui de droit. Ceci est
pour certifier que le voyageur
cidessus a e te fourni avec du
materiel me dical pour usage
personnel seulement dans
I’e ventualite de maladie, d’accident
ou d’urgence. II n’a aucune valeur
commerciale.
Espanol: Para efectos del
interesado. Esta es para certificar
que ai viajero nombrado mas
arriba, se le ha suministrado con
este equipo me dico para uso personal
solamente en caso de enfermedad,
accidente o emergencia. No tiene
valor comercial.
Contents/Contenu/Contenido:
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Stamp/Cachet/Cuno:
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Place/Fait a /Lugar
Date/Le/Fecha
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Signature/Signature/Firma