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EQUIPMENT RECORD
Please provide the information below when you correspond with us about your machine.
Purchased by _____________________________________________________________________
Installed by ______________________________________________________________________
Date of Installation ________________________________________________________________
Model number ____________________________________________________________________
Serial number
0606
MN-1141EN
Belshaw Bros., Inc.
1750 22nd Avenue South
Seattle, WA 98144-4590 USA
Phone: (206) 322-5474 • Fax: (206) 322-5425
Toll Free: (800) 578-2547
E-mail: service@belshaw.com • http://www.belshaw.com