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21. 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
Copie du revendeur ou de l'installateur
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 :
41


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