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Form I-UDA, P/N 195673 R24, Page 40
www.ReznorHVAC.com; (800) 695-1901
©2014 Reznor LLC, All rights reserved.
Trademark Notes: Reznor
®
, TCORE
2®
, and
are registered in at least the United States.
All other trademarks are the property of their respective owners.
10/14 Form I-UDA
Installer:
Name ________________________________________________________
Company ________________________________________________________
Address ________________________________________________________
________________________________________________________
________________________________________________________
Phone _________________________________
Distributor (company from which the unit was purchased):
Company ________________________________________________________
Contact ________________________________________________________
Address ________________________________________________________
________________________________________________________
________________________________________________________
Phone _________________________________
Model ________________ Serial No.______________________________Date of Installation ____________
SPECIFIC INSTALLATION NOTES: (i.e. Location, Amps, Gas Pressure, Temperature, Voltage, Adjustments,
Warranty, etc.)
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
BUILDING OWNER OR MAINTENANCE PERSONNEL:
For service or repair
• Contact the installer listed above.
• If you need additional assistance, contact the Reznor
®
Distributor listed above.
• For more information, contact your Reznor
®
Representative by calling 1-800-695-1901.
Reznor
150 McKinley Avenue
Mercer, PA 16137
INSTALLATION RECORD - to be completed by the installer: