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S01 Cone nam COMMONWEALTH OF PUERTO RICO |ARRA STATE ENERGY PROGRAM, ‘SUN ENERGY PROGRAM Rebate Reservation Form AFI ‘Se i Cari Nal Hand Delt: uric instr iacing Athy = Fi formsin block eter ‘Gopal cere, Worth Tower, 1 oor - Send form 503 with al requed documents in one BbAneral Hoos Aer ‘Applicant Information mania envelope Inset sstm wb tle at aressentl commer gvernntal fei: CJresental Leonel C]goverenal i cendominisn ssoction eset) Sate a cote Nene hone Ena a a Tite maa LET Se ate Dutt 1 Tota Sten Cet Bgectednetnte ——|$ ter cet ‘hr nentve Amount |S inateroormatian Form (2), Ste steer frm 5023), enor iormatonorm| S45), [LyPrejct pce asottion LU owersvaiaio Bustsneeecre vay as 1 suing owners conser sepestie) C) onnersPoofof Omnersp certs of Good staring with EX (Coverient res ny ‘AephantCerietion 1+ Ihe cry that he footie cote eri andi athena ecamens obits is ue an oreo tat the energy ste desea heri il be isoed te dated. ‘+ Thesstem stated wl comply wie tate rey Prom Regen. ‘Thess wie states permone athe aed propre eet tees leet thot have rod derstood and ore wth te Ste Era ogre Reuter, “pliant? Sorta: Owners Sorte: "cade ure statin erp sa ase Doren serum Apes) Conor nam COMMONWEALTH OF PUERTO RICO (EBS Wy |ARRA - STATE ENERGY PROGRAM SUN ENERGY PROGRAM Installer Information Form Inset th rtf poet ibe perorned a resent reidertal commer Canmore rgvermettal cy emveromeral Cleendoninsum esto (essential) cr Sate Te cose ‘aleve Named copy of eth x Doerr Description of Work tobe Performed: Price of system Installation: een: oh, (nstoler Name} erty that the nstallation ofthe photvetee energy stem wi ‘imply wh cl codes ard regulon. + Tere ery tot the information contained herein tre and coret ond that the energy system desided heen wil ‘be instal ofthe ncted proposed projet adres. The system to be insted wil comply withthe State Energy Progam Regulation. The system wl be insted permanent atte ndcoted proposed projet adres. ‘early that have read, understood and agree withthe StteEneray Program Regulation, ‘cert thot the information include nthe ste sketch sre and coret asta Signature: ite: $02.1 ‘onarnom COMMONWEALTH OF PUERTO RICO’ AFI ARRA. STATE ENERGY PROGRAM fy Im SUN ENERGY PROGRAM CE? Installer Information Form — Site Sketch “Ste sketh shall Geay nate nd describe the intended location, se, cacy, seo obsrucians, and connection ofa new SRF _vergy ster. ; | H —f ERE COMMONWEALTH OF PUERTO RICO AFI ARRA- STATE ENERGY PROGRAM (em) N= SUN ENERGY PROGRAM Wy) Vendar information Form ple detinon Naber Ns Ce en maT Phone representatveof (Wendors Name] Teompany’s Nome) cet tha: The equipment tobe sods new 4+ Theinfomation contained herein strat + Vhave reed, ucerstod and agree withthe Stte Energy Program Regulation, +The product represent/sllcmples with ARR Secon 1605~ Buy Amercen ero Snatore: ate: *Taslae supporting documentation om maautocnrer showing Wes pode anTaCaT

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