AT MOUNT LEBANON
1150 BOWER HILL ROAD
PITTSBURGH, PA. 15243-0986
412-279-0100

Gas Grill Reservation


Residents Only may reserve and accept responsibility for the operation of the gas grill.


Request to use the gas-grill must be made by filling out this form:

Name_______________________________________________________________

Unit # & Bldg.________________________________________________________

Date grill will be used._________________________Time________________

I have received and read the gas-grill operating instructions and I assume full responsibility for the proper use and care of the gas-grill and agree to leave the grill in good condition. I understand that the grill must be covered after the grill has been allowed to cool and will comply with this and all other directives.

_____________________________________
Signature




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