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ATTESTATION DʼINSTALLATION ET ESSAI
CLIENT: ___________________________________________
RUE: ______________________________________________
VILLE: _____________________________________________
CP: _______________________________________________
DÉPARTEMENT: ____________________________________
TÉL: _______________________________________________
Date de livraison: _____________________________________
Bordereau de livraison: ________________________________
Modèle de lʼappareil: __________________________________
N. de série: _____________________ Année: _____________
Cachet du Revendeur:
Cachet de lʼInstallateur:
Prénom: _____________________________________________
Nom: ________________________________________________
Adresse: __________________________ CP.:_______________
Ville: ________________________________________________
Tél.: _________________________________________________
Après lʼinstallation de lʼappareil, le client déclare que les travaux ont été effectués selon les règles de lʼart et dans le respect des instructions du présent
mode dʼemploi. De plus, il déclare avoir vérifié le bon fonctionnement de lʼappareil et connaître les indications nécessaires quant à une utilisation, un
emploi et un entretien corrects de lʼappareil.
Signature du CLIENT Signature du REVENDEUR / INSTALLATEUR
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Copie du revendeur ou de lʼinstallateur
ATTESTATION DʼINSTALLATION ET ESSAI
CLIENT: ___________________________________________
RUE: ______________________________________________
VILLE: _____________________________________________
CP: _______________________________________________
DÉPARTEMENT: ____________________________________
TÉL: _______________________________________________
Date de livraison: _____________________________________
Bordereau de livraison: ________________________________
Modèle de lʼappareil: __________________________________
N. de série: _____________________ Année: ____________
Cachet du Revendeur:
Cachet de lʼInstallateur:
Prénom: ____________________________________________
Nom: ______________________________________________
Adresse: __________________________ CP.:______________
Ville: _______________________________________________
Tél.: ________________________________________________
Après lʼinstallation de lʼappareil, le client déclare que les travaux ont été effectués selon les règles de lʼart et dans le respect des instructions du présent
mode dʼemploi. De plus, il déclare avoir vérifié le bon fonctionnement de lʼappareil et connaître les indications nécessaires quant à une utilisation, un
emploi et un entretien corrects de lʼappareil.
Signature du CLIENT Signature du REVENDEUR / INSTALLATEUR
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