12/17/2014 Approved by: Heather Brown Recipient Type: POC

12/17/2014
Approved by:
Recipient Type:
Heather Brown
POC FRAN 9127489537
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Attn:
POC FRAN
Coastal Courier Services
218 Bourne Blvd Suite A
Savannah, GA 31408
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From:
Heather Brown
Authorization Number:
78262945
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Regarding Customer:
Bertha Bragg
1133 Mary Ann Prescott
GLENNVILLE, GA 30427
9126544292
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Purchase date:
06/10/2014
Model:
FGEF304DKF
Serial:
NF31625349
Brand:
Frigidaire
Product type:
Free Standing Range
New Model:
FGEF308TNF
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Disposition Type:
IC ORDER
Reason:
PER BILL LANGE
Delivery Charge:
$205.20
Instructions:
- To ensure that your account will be credited, please return this form along with the
information requested within 30 days to avoid denial of your claim.
- Submit the invoice number and serial number of the model used as the replacement
along with the original serial tag from the defective unit.
- We will issue credit to your account for the value of the replacement model.
- Keep a copy of the serial tag for your records.
Delivery Charge: Customer not responsible for delivery charge.
Product Disposition: Dispose of old product and forward serial tag to address below.
Mailing Address:
Electrolux Major Appliances
P.O. Box 621088
Charlotte, NC 28262
Site
www.frigidaire.com