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Ball HD Series - Page 77

Ball HD Series
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INSTALLATION
AND
OPERATING
MANUAL
MALFUNCTION
REPORT
Dear Customer:
We
are trying
to
manufacture the most reliable product possible. You would do
us
a great courtesy
by completing this form should you experience any failures.
1.
Type
Unit------------------
Serial
No.
________
_
Module (if applicable)
______________________
_
2.
Part failed (Name and Number)
______________________
_
3. Cause of failure (if readily available)
____________________
_
4. Approximate hours/days
of
operation
to
failure,
________________
_
5.
Failure occurred during:
Final Inspection Customer Installation Field
Use
6. Personal Comment:
Customer
_______________
_
Address
________________
_
Signed
________________
_
Date
_________________
_
Ball
Electronic Display Division
P.O.
Box
43376
St.
Paul,
Minnesota 55164
Telephone 612-786-8900
TWX
910-563-3552