User: _______________________________________________________
Address:_____________________________________ Tel:________________
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Distributor:_______________________________________________________
Purchase date:____________________________________________________
Model:_________________________ Serial No:_________________________
Compressor No: __________________________
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User: _______________________________________________________
Address:_____________________________________ Tel:________________
Postal
code
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Distributor:_______________________________________________________
Purchase date:____________________________________________________
Model:_________________________ Serial No:_________________________
Compressor No: __________________________
Seller Signature
Town:_________________________________________________
Town:_________________________________________________
Purchaser Signature
Purchaser Signature
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