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SEC filings
20-F
BIOLINERX LTD. filed this Form 20-F on 03/10/2016
Entire Document
 
50

 
 
Exhibit B

Vehicle Receipt Form
 
Name of Employee:

I.D Number:

Date:

Vehicle Model:

Registration No.:

Mileage on date of receipt (in kilometers):
 
I hereby confirm the receipt of the said vehicle, together with the following accessories:

 
1.
Valid License;
 
2.
Valid Insurance Certificate;
 
3.
Vehicle Manual;
 
4.
Maintenance Manual;
 
5.
Car Jack;
 
6.
Tire Wrench;
 
7.
Spare Tire;
 
8.
Car Key + other Security Measures;
 
9.
Triangle Warning Sign;
 
10.
Dustbin; and
 
11.
Sound System (Radio and Disk).

Additional Accessories: Click here to enter text.

Routine vehicle maintenance shall be carried out every 15,000 kilometers.

Comments:
____________________________________________________________________________________________________________________________________________
 
____________________________________________________________________________________________________________________________________________

Employee Signature: _____________________________