CO.: CO.: PO #: PO #: PHONE: PHONE: CONTACT: CONTACT: UNIT TYPE: UNIT TYPE: VOLTAGE: 6 12 24 32 GROUND:NEG POS VOLTAGE: 6 12 24 32 GROUND:NEG POS MAKE: MAKE: MODEL: YEAR: MODEL: YEAR: UNIT PROBLEM: UNIT PROBLEM: L| REBUILD OR EXCHANGE L_] REBUILD OR EXCHANGE L] ESTIMATE [_] CORE ONLY (_] ESTIMATE [_] CORE ONLY DATE INSTALLED _______ DATE INSTALLED WARRANTY! DATE FAILED —________ L] WARRANTY/ DATE FAILED NEED BY: NEED BY: www electionlrebulders.rg Cc LAI M Cc H E Cc K www electionrebulders.rg