33
Base Plus
Use and maintenance manual
Rev.06
05/09/2019
English
The card below is just an example. the manufacturer will have to adapt it according to his needs.
TO BE COMPILED BY THE INSTALLER/MAINTENANCE TECHNICIAN - INSTALLER COPY TO
CUT
PRODUCT DELIVERY AND INSTALLATION SHEET
Installation declaration of conformity:
Extraordinary maintenance has be requested from a specialised company and must be performed every two
years. If this is not performed the warranty shall lapse immediately. Refer to the Instruction Manual for further
details.
Cliente
/ Customer / Client / Kunde / Cliente
....................................................................................................................................................
Indirizzo
/ Address / Adresse / Anschrift / Dirección
........................................................................................................................................
.................................................................................................................................................................................................................................
Luogo installazione
/ Place of Installation / Lieu d’installation / Ort der Installation / Lugar de instalación
.............................................
.................................................................................................................................................................................................................................
Data installazione
/ Installation Date / Date d’installation / Datum der Installation / Fecha de instalación
...............................................
.................................................................................................................................................................................................................................
Cod. seriale prodotto /
Product serial number /
Cod. série produit /
Produkt-Seriennummer /
Cód. serial del producto
Firma Installatore
/ Installer Signature / Signature de l’installateur / Unterschrift des
Monteurs / Firma del instalador
..............................................................................................
Note
/ Notes / Notes / Anmerkungen / Notas
..........................................................................................................................
..........................................................................................................................
..........................................................................................................................
..........................................................................................................................
Timbro installazione
/ Installer Stamp / Cachet d’installation / Stempel des Monteurs /
Sello de instalación
Customer Declaration
I declare that I have taken possession of the structure with the serial number specified above, which is new and
operating perfectly, and supplied with the instruction manuals for the structure and any installed accessories
(motors, automated controls etc.).
Luogo
/ Place / Lieu / Ort / Lugar
.........................................................................................................................................................
Data
/ Date / Date / Datum / Fecha
.........................................................................................................................................................
Nome del firmatario in stampatello
/ Signatory (block capitals)
/ Nom du signataire en majuscules d’imprimerie / Name des
Unterzeichneten in Blockbuchstaben / Nombre del firmante en mayúsculas
......................................................................................
Firma
/ Signature / Signature / Unterschrift / Firma
..............................................................................................................................
