M-30-1382-en S8 / S81 Ceiling Mounts Issue 12.0Printed on 19. 11. 2007Accessory interface 73Confirmation of the structural calculation and executionof installationSales order no.: ...........................................................................................Customer address /Delivery address:.................................................................................................................................................................................................................................................................................By signing below, the following persons confirm that they have per-formed their work in a proper and orderly way:The structural engineer fore the selection and layout of the installation site, taking possible build-ing vibrations into accounte the structural calculation, taking into account the applicable nationalregulations and the planning manuale the structural checking of an existing substructuree the structural calculation of a substructure built on sitee the final checking and release of the structural calculations:Name and address ofthe structural engineer:............................................................................................................................................................................................................................................................................................................... ..................................................................Date SignatureThe installer forthe proper mounting of the pre-installation set or theceiling or wall flange from Carl Zeiss:Name and address ofthe executing companyand installerrs name:.......................................................................................................................................................................................................................................................................................................................................................................................................... ..................................................................Date Signature