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Model TLC All-Fuel Chimney
INSTALLATION INFORMATION FORM
Chimney Model: _________________________________________________________________________
Type of Appliance: ______________________________________________________________________
Installation Date: ________________________________________________________________________
Description of Installation (chimney and stovepipe configuration): ______________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Dealer Name: ___________________________________________________________________________
Address: _______________________________________________________________________________
City: ___________________________________________________________________________________
State/Zip: _______________________________________________________________________________
Telephone Number: ______________________________________________________________________
Technician Name: _______________________________________________________________________
Address: _______________________________________________________________________________
City: ___________________________________________________________________________________
State/Zip: _______________________________________________________________________________
Telephone Number: ______________________________________________________________________
24
©2022 Hart & Cooley, Inc. All rights reserved
Keep in a safe place for future reference.
PURCHASED FROM
INSTALLED BY
Form No. 851354
Installation Instructions
4460 44th Street, S.E., Suite F
Grand Rapids, MI 49512
616.565.8200 p
616.656.6399 f
info@hartcool.com
www.hartandcooley.com
09/12/2022
Printed in U.S.A.
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