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Date Installed
Dealer Name
Address
City
State/Province
Telephone
Product No.
Model No.
Serial No.
INSTALLATION
DATA
Zip/Postal Code
FURNACE
AIR CONDITIONER OR HEAT PUMP
OUTDOOR UNIT:
Product No.
Model No.
Serial No.
INDOOR COIL:
Product No.
Model No.
Serial No.
Heating &Cooling
Cancels:
OG-PG8M02
OG-PG8M03
¢c3 2002 Payne Heating & Cooling,
P.O. Box 70, Indianapolis,
IN 46206
12
Printed in U.S.A.
11-02
Catalog No.
53PG-6M3
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