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CERTIFICATE OF CONFORMITY

Supplier Information: Date: 09/26/2016


Minnesota Rubber & Plastics Mexico
Av. Falcon Lotes 13 y 14
Reynosa, Tamaulipas
Mexico

This is to certify if the following components from Supplier are released in incoming inspection and ready to ship to
customer Unomedical a/s in Reynosa / Mexico.

Supplier Batch No: 404946 Unomedical Article


Name: Silicone Pad

Batch Size: 20000 Unomedical Article No:


PD103414

The components have been inspected in accordance with Unomedical's purchase specification: Yes

Doc. No: Rev. C

X Approved Approved with comments

Comments:

Inspected by:

Quality Control Department

4902032 [4]
Template of Supplier Conformity Certificate “Electronic copy – not controlled if printed” Page
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