Kidde Fire Systems 96-FE13MA-001 : User's Manual : Page 9

v

ATTENTION INSTALLER

This form must be signed by the system owner indicating that he/she has received a copy of this Owner’s Manual

P/N 96-FE13MA-001. Have the system installer fill-out this form.

Note: Retain a copy of this form for your records.

1. System Installed:

__________________________________________________________________

2. Listing of Major System Components:

__________________________________________________________________

3. Description of Hazard Protected by System:

__________________________________________________________________

____________________________________________ _____________

Owner or Authorized Representative Date

____________________________________________

Title