Security System

Certificate of Installation

System Location

Name

Address

City State Zip

Date Completed

A security system has been installed at the location above and is monitored by SentryNet, a U.L. listed central station.

q Mississippi UL #S-3479-1, phone 1-800-635-9754

q Florida UL #S-3479-2, phone 1-888-635-9754

System Type

q Burglary q Fire q Hold-up q Other (specify)

Protected Premise

q Residential q Retail q Industrial q Educational q Other (specify)

Equipment Installed

q Panel _______________


q Battery Backup

q Motion Sensors

q Door Switches

q Window Switches

q Glass Break Detectors

q Traps

q Panic Buttons

q Smoke Detectors

q Heat Detectors

q External Siren

q Internal Siren

q Strobe

q FA Horn/Strobes

q Other (Specify) ____________________


The above equipment has been installed to industry standards and any applicable local codes.

System Installed By

Dealer

Address

City State Zip

Signature Date

REV-MAY06