
Form I-CAUA, P/N 164771 R8, Page 44
www.ReznorHVAC.com;(800) 695-1901
©2014 Reznor LLC, All rights reserved.
Trademark NOTES: Reznor
®
is registered in at least the United States.
All other trademarks are the property of their respective owners.
07/14 (Serial No. Date Code BNG) Form I-CAUA (Version C.3)
Installer:
Name ________________________________________________________
Company ________________________________________________________
Address ________________________________________________________
________________________________________________________
Phone _________________________________
Distributor (company from which the unit was purchased):
Contact ________________________________________________________
Company ________________________________________________________
Address ________________________________________________________
________________________________________________________
Phone _________________________________
Model No. ______________ Serial No._____________________Date of Installation ____________
SPECIFIC INSTALLATION NOTES: (i.e. Location, CFM, HP, Static Pressure, Amps, Gas Pressure, Tempera-
ture, 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 800-695-1901.
Reznor
®
150 McKinley Avenue
Mercer, PA 16137
INSTALLATION RECORD - to be completed by the installer:
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