Agency Authorization letter

FCC ID: YSGDR1510

Cover Letter(s)

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FCCID_2621255

BJ soORINGROUP
      AT THE HEART OF MEDICAL TECHNOLOGY




 SORIN GROUP ITALIA S.r.|
Via Crescentino
13040 Saluggia (VC)
Italy


 To: Curtis—Straus LLC
 Certification Department — TCB/FCB
 527 Great Road
 Littleton, MA 01460

                                   Authority to Act as Agent

 On our behalf, 1 appoint LCIE located at 33 avenue du General Leclerc 92260
 FONTENAY AUX ROSES, FRANCE to act as our agent in the preparation of this
 application for equipment certification. 1 certify that submitted documents properly
 describe the device or system for which equipment certification is sought

 For instances where our authorized agent signs the application for certification on our
 behalf, I acknowledge that all responsibility for complying with the terms and conditions
 for certification, still resides with SORIN CRM — Parc d‘affaires NOVEOS 4, Avenue
 Réaumur 92140 CLAMART Cedex — FRANCE.


 Certification
 Number                  FCC ID : YSGDR1510
                         DR 1510
 Model Number(s)

 Date                    03/Mar/2015
 Agency Agreement
 Expiration Date         03/Mar/2016

 Company Name            SORIN
                         Parc d‘affaires NOVEOS
 Company Address         4, Avenue Réaumur
                         92140 CLAMART Cedex
                         FRANCE
                         Mr Chatura PATHIRAGE
 Name and Title of       Regulatory affairs Engineer
 Person Signing
                         E—mail: chatura.pathirage@sorin.com
 Contact Info            Phone : +33 1 46 01 33 58
 (Phone and Email)



 Signature                                   en
                                           ze



Document Created: 2019-11-10 17:10:39
Document Modified: 2019-11-10 17:10:39

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