DELIVERY REPORT

TO : TADANO LTD. Ref. No.

Country: Date of delivery (DD-MM-YYYY) :
Distributor : Name :

Model/Spec Serial No. Address :

Owner
Crane
Chassis
Engine (chassis) Phone :
Mileage & operating hrs km/mile hrs Business:
Engine (crane) Principal use of crane:
Operating hrs hrs Date of manufacture (DD-MM-YYYY):

Capacity Model Manufacturer Date owned

ton
Crane to be traded in (if any):

Other cranes owned by

owner :

We have received the following manuals:

Kind of manuals Information No.

Owner's comment : The safe operation and proper maintenance of the

crane (and carrier), service policy and the terms &
conditions of the warranty have been explained to
me.

Owner's Seal and Signature

Distributor's comment :

Distributor's Signature
Send original copy back to TADANO, and keep first copy at Distributor. 3,2006

TADANO LTD. Printed in Japan

Japan