BAT Screeny 110 Manuel D'utilisation Et D'entretien page 33

Use and maintenance manual
The card below is just an example. the manufacturer will have to adapt it according to his needs.
EDITED BY THE INSTALLER/MAINTENANCE TECHNICIAN - CUSTOMER COPY
PRODUCT DELIVERY AND INSTALLATION SHEET
Installation declaration of conformity:
It is stated that the product installation has been performed to appropriate technical standards, following the
manufacturer's instructions.
Cliente / Customer / Client / Kunde / Cliente
Indirizzo / Address / Adresse / Anschrift / Dirección
.................................................................................................................................................................................................................................
Luogo installazione / Place of Installation / Lieu d'installation / Ort der Installation / Lugar de instalación
.................................................................................................................................................................................................................................
Data installazione / Installation Date / Date d'installation / Datum der Installation / Fecha de instalación
.................................................................................................................................................................................................................................
Cod. seriale prodotto /
Product serial number /
Cod. série produit /
Produkt-Seriennummer /
Cód. serial del producto
Note / Notes / Notes / Anmerkungen / Notas
Customer Declaration
I declare that I have taken possession of the structure with the serial number specified above, which is new and
operating perfectly, and supplied with the instruction manuals for the structure and any installed accessories
(motors, automated controls etc.).
Luogo / Place / Lieu / Ort / Lugar
Data / Date / Date / Datum /
Nome del firmatario in stampatello
Unterzeichneten in Blockbuchstaben / Nombre del firmante en mayúsculas
Firma / Signature / Signature / Unterschrift / Firma
09/09/2019 Rev.09
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........................................................................................................................................
Timbro installazione
Sello de instalación
Firma Installatore
Monteurs / Firma del instalador
..........................................................................................................................
..........................................................................................................................
..........................................................................................................................
..........................................................................................................................
.........................................................................................................................................................
Fecha.........................................................................................................................................................
/ Signatory (block capitals) / Nom du signataire en majuscules d'imprimerie / Name des
..............................................................................................................................
Screeny 110 Line
/ Installer Stamp / Cachet d'installation / Stempel des Monteurs /
/ Installer Signature / Signature de l'installateur / Unterschrift des
..............................................................................................
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