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FOR IOWA USE ONLY
All sales in Iowa require the following signature before consummation of sale. These signatures must be retained by
seller/renter for 2 years minimum.
Buyer/Renter __________________________________________________________ Date _________________
Seller ________________________________________________________________ Date _________________
Seller’s Address _______________________________________________________________________________
Seller’s Phone No. _____________________________________________________________________________
Product: Brita Model BRDPFS Single Stage Drinking Water Filtration System
– – – – – – – – – – – – – – – – – – – – – – – – –
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