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12. ATTESTATION D’INSTALLATION ET D’ESSAI
ATTESTATION D’INSTALLATION ET D’ESSAI
CLIENT : ____________________________________________
RUE : _______________________________________________
VILLE : ______________________________________________
CODE POSTAL : _____________________________________
DÉPARTEMENT : _____________________________________
TÉL : _______________________________________________
Date de livraison : ____________________________________
Bordereau de livraison : _______________________________
Appareil modèle : _____________________________________
N° de série : _____________________ Année : ___________
Cachet du revendeur :
Cachet de l'installateur :
Prénom : ______________________________________________
Nom : _________________________________________________
Adresse : ______________________Code postal : ____________
Ville : _________________________________________________
Tél : __________________________________________________
Après l’installation de l'appareil, le client déclare que les travaux ont été effectués dans les règles de l’art et dans le respect des instructions du présent
manuel d’utilisation. De plus, il déclare avoir vérifié le bon fonctionnement de l'appareil et connaître les indications nécessaires quant à une utilisation,
un emploi et un entretien corrects de l'appareil.
Signature du CLIENT Signature du REVENDEUR / INSTALLATEUR
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