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Clean Box
Unit Type
Filter box with panel filters for round air ducts
Seller’s Stamp
Model
Clean Box _______
Serial Number
Manufacture Date
Purchase Date
Warranty Period
Seller
Unit Type
Filter box with panel filters for round air ducts
Model
Clean Box _______
Serial Number
Manufacture Date
Quality Inspector’s
Stamp
Seller
Seller’s Stamp
Address
Phone Number
E-mail
Purchase Date
This is to certify acceptance of the complete unit delivery with the user’s manual. The warranty terms are
acknowledged and accepted.
Customer’s Signature
The Clean Box _______ unit is installed pursuant to the requirements stated in the present user's
manual.
Installation Stamp
Seller
Address
Phone Number
Installation
Technician’s Full Name
Installation Date:
Signature:
The unit has been installed in accordance with the provisions of all the applicable local and national construction,
electrical and technical codes and standards. The unit operates normally as intended by the manufacturer.
Signature:
CERTIFICATE OF ACCEPTANCE
SELLER INFORMATION
INSTALLATION CERTIFICATE
WARRANTY CARD