Book 35392877 (1/01)
19
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Selling Distributor
Servicing Distributor
WARRANTY REGISTRATION
Name
Address
City
County
State
Zip Code
Telephone
Name
Address
City
County
State
Zip Code
Telephone
Address
City
County
State
Zip Code
Telephone
Owner/User Name
Complete the Applicable Blocks
Owner/User Type of Business (check one only)
Construction--Heavy
(highway, excavation, etc.)
Construction--Light
(carpentry,
plumbing,
pools,
mason, etc.)
Rental
(rental center, rental fleet, etc.)
Industrial (plant use)
Asphalt Contractor
Government
(municipal, state,
county, etc.)
Building Contractor
Other
specify __________
Coal Mining
Quarry
Waterwell
Exploration
Other Mining
Shallow Oil & Gas
Utility Company
(gas, electric, water, etc.)
Utility Contractor
SERVICING DISTRIBUTOR/USER ACKNOWLEDGEMENT
1.
The Purchaser has been instructed and/or has read the manual and understands proper preventative
maintenance, general operation and safety precautions.
2.
The warranty and limitation of liability has been reviewed and understood by the owner/user.
3.
In the event that this unit is to be used within a nuclear facility, the owner/user shall notify Ingersoll--Rand of such
use so that Ingersoll--Rand may arrange for appropriate nuclear liability protection from the owner--licensee of the
facility.
4.
Ingersoll--Rand reserves the right to make design changes or modifications of Ingersoll--Rand products at anytime
without incurring any obligation to make similar changes or modifications on previously sold units.
Model
Unit S/N
Engine S/N
Date Delivered
Unit--Hours
Airend S/N
Truck S/N
Truck Engine S/N
