19
1.35
Useful information
Retailer: ...........................................................................
Mr.: ..................................................................................
Address: ...........................................................................
Tel.: ..................................................................................
Technical Assistance Centre: ...............................................
Mr.: ..................................................................................
Address: ...........................................................................
Tel.: ..................................................................................
Installer: ...........................................................................
Mr.: ..................................................................................
Address: ...........................................................................
Tel.: ..................................................................................
Date
Intervention
Fuel supplier: ....................................................................
Mr.: ..................................................................................
Address: ...........................................................................
Tel.: ..................................................................................
Date
Qty supplied
Date
Qty supplied
Date
Qty supplied
Date
Qty supplied