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Purchase Information
Notes / Service History
Write in the model and serial numbers below for all applicable equipment such as the chair, unit
light and unit control head.
MODEL: ____________________________
SERIAL NUMBER: ___________________
DEALER NAME AND ADDRESS:
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DATE PURCHASED: __________________
DATE INSTALLED: ___________________
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MODEL: ____________________________
SERIAL NUMBER: ___________________
MODEL: ____________________________
SERIAL NUMBER: ___________________