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P.O. Box 519 Brownsburg, IN 46112 Phone 317-858-7050 Fax 317-858-7053
www.roadhog-inc.com
New Machine Delivery Report
Model number_____________________ Date __________________
Serial number_____________________
Delivery Location___________________
Dealer personnel making the delivery / start-up_______________________________
Comments / Condition ______________________________________
______________________________________
Any items needing correction _______________________________
Dealer Customer
The above unit has been delivered on the date We acknowledge the receipt of above attachment
shown and according to the conditions as shown. the condition set forth and have been instructed
If sold, the customer has been instructed in the in the operation and maintenance of the attachment
Operation of the attachment, and has read and and have read and understand the owners manual.
understands the owners manual.
(
This acknowledgement is required to start the
warranty period
.)
Stock _____ Rental fleet _____ Sold ______
Name of Dealer_________________________ Name of Purchaser ___________________________
Address _________________________ Address ____________________________
City _________________________ City ____________________________
Zip code __________ Zip code _________
Phone number __________________________ Phone number _____________________________
Authorized by __________________________ Authorized by _____________________________
Printed signature_________________________ Printed signature______________________________
Date ___________ Date ____________
