EQUIPMENT RECORD

Please provide the information below when you correspond with us about your machine.

Purchased by _____________________________________________________________________

Installed by ______________________________________________________________________

Date of Installation ________________________________________________________________

Model number ____________________________________________________________________

Serial number

0606

MN-1141EN

Belshaw Bros., Inc.

1750 22nd Avenue South

Seattle, WA 98144-4590 USA

Phone: (206) 322-5474 • Fax: (206) 322-5425

Toll Free: (800) 578-2547

E-mail: service@belshaw.com • http://www.belshaw.com

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Belshaw Brothers 718LCG, and 734CG, 724CG manual Equipment Record