Optima Company Optima 3600O Important Information, Appliance, Owner, Retailer, Installer, in.w.c

Optima 3600 35

IMPORTANT INFORMATION

*Please have the installer fill out the installation information for warranty and future reference.

APPLIANCE

MODEL NUMBER	ODV-3600 Top / Rear		SERIAL NUMBER
GAS TYPE	￿ NATURAL GAS	￿ LPG	VALVE TYPE	SIT 820 Nova
DATE PURCHASED	/	/
		OWNER
NAME
ADDRESS
CITY
STATE / PROV.
COUNTRY
ZIP / POST.CODE
PHONE NUMBER
		RETAILER
COMPANY NAME
ADDRESS
PHONE NUMBER
		INSTALLER
COMPANY NAME
ADDRESS
PHONE NUMBER

INSTALLER

INSTALLER NAME		DATE INSTALLED		/	/
GAS TYPE	￿ NATURAL GAS ￿ LPG	GAS SUPPLY PRESSURE			in.w.c
VENT VERTICAL HEIGHT	ft.	VENT HORIZONTAL LENGTH			ft.
MODIFICATIONS
Signature of Installer:			Date:	/	/

mm dd yyyy