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o �����������������1 M P C)�TA�i T D U C U M E�T���������������� o <br /> 5 Cert�i�icai� c�f �la �e�is ce : SC <br /> 5 ISSUED BY� �� - S <br /> S REGISTRATION <br /> , Date of Shipment S <br /> �5 APPLICATION CN R s i�i 2 o o s 5 <br /> NUMBER S INDUSTRIE�INC� S <br /> 5 . <br /> � S ~ EVAN SVI L L E, I N D I A N A 4 7 7 2 5 T e n t I d e n t i f i c a t i o n 5 <br /> � F121.4 ° M A N U F A C T U R E R S O F T H E F I N I S H E D 04341896 � <br /> TENT PRODUCTS DESCRIBED HEREIN � <br /> 5 This is to certify that the materials described have been flame-retardant treated 5 <br /> 5 (or are inherent(y noninfla able) and were supplied to: S <br /> 5 5 1101909 , „' S <br /> A TO Z RENTAL#120 8 5 <br /> 5 12450 PLAZA DRIVE� 5 <br /> 5 5 <br /> 5 EDEN PRAIRIE MN 5 344 5 <br /> 5 5 <br /> 5 5 <br /> 5 5 <br /> 5 Cert'rfication is hereby mac�e that: 5 <br /> SThe articles described on this Certificate have been treated with a flame-retardant approved 5 <br /> 5 chemical and that the application of said chemical was clane in conformance with Calefornia 5 <br /> 5 Fire Marshal Code. All fabric has been tested and passes NFPA 701-99, CPAI 84, ULC 109. 5 <br /> 5 Serial # Cj <br /> 5 g2��3o0�,, S <br /> SDescription of item certitied: 5 <br /> �S PARTY TENT MID 40WX20 SNYDER � <br /> WHITE VINYL � <br /> SFlame Retardant Rrcaeess Used Will Not Be Removed By 5 <br /> 5 IA�'ashing And !s Effective For The Life Of The Fabric 5 <br /> � <br /> 5 �OHN RO�LF STATESViLLE�I� Signed: �----" �'� ��� 5 <br /> tl 5 Name of Raplicator of Flame Resistant Finish , ANCHOR tNDUSTRIES INC. �j <br /> o ���n��r�����n�n��n�r��n��n�n��r���n���n�n�������n����n����������.r�����.r���������n���������n������ o <br />