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RETURN TO EURO-PRO OPERATING LLC, 94 Main Mill Street, Door 16, Plattsburgh, N. Y. 12901 _ ____ _______ ________ _______ ________ ________ _______ ________ ________ ___ _ Appliance model _ ____ _______ ________ _______ ________ ________ ____ _ __ ________ _______ _____ Date purchased Name of store _ ____ _______ ________ _______ ________ ________ _______ ________ ________ ___ _ Owner’s name _ ____ _______ ________ _______ ________ ________ _______ ________ ________ ___ _ Address City State Zip C