Form I-UDA, P/N 195673 Rev 13, Page 40
www.RezSpec.com
(
800) 695-1901
©2009 Thomas & Betts Corporation, All rights reserved.
Trademark Note:
Reznor
®
, T
CORE
2®
, and
�
are registered in at least the United States.
8/09 Form I-UDA (Version A.3)
Installer:
Name
________________________________________________________
Company ________________________________________________________
Address
________________________________________________________
________________________________________________________
________________________________________________________
Phone
_________________________________
Distributor (company from which the unit was purchased):
Company
________________________________________________________
Contact
________________________________________________________
Address
________________________________________________________
________________________________________________________
________________________________________________________
Phone
_________________________________
Model ________________ Serial No.______________________________Date of Installation ____________
SPECIFIC INSTALLATION NOTES: (i.e. Location, Amps, Gas Pressure, Temperature, Voltage, Adjustments,
Warranty, etc.)
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
BUILDING OWNER OR MAINTENANCE PERSONNEL:
For service or repair
Contact the installer listed above.
If you need additional assistance, contact the Reznor Distributor listed above.
For more information, contact your Reznor Representative by calling 800-695-1901.
Reznor/Thomas & Betts
150 McKinley Avenue
Mercer, PA 16137
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•
•
INSTALLER MUST COMPLETE THE FOLLOWING: