Enviro Bistro 4500 C-10124 - Manual (Page 30)

Installation Data Sheet
The following information must be recorded by the installer for warranty purposes and future reference.
NAME OF OWNER:
_________________________________________
ADDRESS:
_________________________________________
_________________________________________
_________________________________________
PHONE:___________________________________
NAME OF DEALER:
_________________________________________
ADDRESS:
_________________________________________
_________________________________________
_________________________________________
PHONE:___________________________________
MODEL:___________________________________
SERIAL NUMBER:___________________________
DATE OF PURCHASE: _____________ (dd/mm/yyyy)
DATE OF INSTALLATION:___________ (dd/mm/yyyy)
�
NATURAL GAS (NAT) � PROPANE(LPG)
INSTALLER’S SIGNATURE:
_________________________________________
NAME OF GAS INSTALLER:
_________________________________________
ADDRESS:
_________________________________________
_________________________________________
_________________________________________
PHONE:___________________________________
MANUFACTURED BY:
SHERWOOD INDUSTRIES LTD.
6782 OLDFIELD RD. SAANICHTON, BC, CANADA V8M 2A3
www.envirofire.biz
April 12, 2004
C-10124
30