number: e4*2002/24*1864*00
The undersigned hereby certifies the accuracy of the manufacturer's description in the attached information
document of the vehicle type described above, for which one or several representative samples, selected by the
competent approval authorities, has (have) been submitted as prototype(s) of the vehicle type and that the
attached test results are applicable to the vehicle type.
The vehicle type meets/. - no c^ (1) the technical requirements of all relevant separate Directives (as last
amended) listed in the table of Annex 1 to Directive 2002/24/EC.
The approval is granted/reftbed/withdrawn (I).
Place Zoetermeer
Signature
Date 27-DEC-2007
Attachments: — Information document, Parts 1 and 2 (Annex II).
— Test results (Annex VII).
— Name(s) and specimen(s) of the signature of the persons authorised to sign the
certificates of conformity and a statement of their position in the company.
— A model certificate of conformity.
(I) Delete where not applicable.
According to the classifica on introduced in Article 1.
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