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Trademark/Model Designation
GE Smart Water Filtration S
GE Smart
State of California
Department of Health Services
Water Treatment Device
Certificate Number
00- 1434
Date Issued: May 30, 2000
Date Revised: February 9, 2001
Replacement Elements
WF06
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ManufactHrer:
Micr{
Cysts (1
nants
Organic
2,4-D '_
For Purchases Made In Iowa: This form must be signed and dated by the buyer and seller prior to the consummation of this
sale. This form should he retained on file by the seller for a minimum of two years.
BUYER: SELLER:
Name Name
Address Address
City State Zip City
Signature Date Signature
28
State Zip
Date
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