Specifications
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Revision Date: 4-March-2004
M:\cer\Derrick Documents\Contracts-QA\Certificates\Certificates Master\Generic Certificates\Generic Origin\PE-S-069-03-03.doc
Document No.: PE-S-069-03-03
CERTIFICATE OF ORIGIN
Equipment: Centrifuge Equipment
Model: DE-1000 GBD, DE-1000 FHD, DE-1000 VFD
Characteristics: 0-600VAC, 50/60Hz, 3PH
Derrick Corporation certifies that the above described articles are of the growth, product, or manufacture
of the United States of America and the prices true and correct. Material furnished is in accordance with
the requirements of order.
THESE COMMODITIES, TECHNOLOGIES, OR SOFTWARE WERE EXPORTED FROM THE UNITED
STATES IN ACCORDANCE WITH THE EXPORT ADMINISTRATION REGULATIONS. DIVERSION
CONTRARY TO U.S. LAW PROHIBITED.
_______________________________________________________________________
Date: 2-June-2005 Signature: