ATi Radeon 7000
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Same as this and this Radeon 7000. Equipped with a special DVI-like (but with four pins extra) connector for dual screen setups. Because I don't have the cable I'm not able to test the cards output. Though I was able to extract the BIOS using a PCI card for display.

The sticker on the back says:

NON - QUALIFICATION SAMPLE
Made in Canada - NOT FOR RESALE Date:03/01/02
P/N 102-81107-00 Rev. 01 ISR# 2709-0006
Asic Type RADEON VE Asic P/N 215R6LAFA12E
Eng. Mod. 1 2 3 4 5 6 7 8 9 10

With pen someone wrote:
F44176.1


Specifications
Chipset
R100
PCB date
0133
Chip date
0000
RAM
16MB SG 5NS (Samsung)
Interface
AGP
Condition
Card only
TV functions?
No
Engineering sample?
Yes
RAMDAC
Integrated
Board revision
01