Amputee Attachment and Rear Anti-Tipper
Due to changes in paint finishes, it is recommended that
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| Note | Part Number |
| Description | Package | Assembly | ||||||
1 |
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| A | 1058500 |
| Bracket, Amputee, (Right Adult) (Left Hemi) | 1 | 1 | |||||
1 |
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| B | 1058501 |
| Bracket, Amputee, (Left Adult) (Right Hemi) | 1 | 1 | |||||
2 |
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| 7930350 |
| Screw, Hex Head | 25 | 1 | ||||
4 |
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| 7930364 |
| Pkg, Locknut | 25 | 1 | ||||
6 |
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| C | 1058670 |
| Amputee Attachment (Pair) | 2 | 1 | |||||
1 |
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| Bracket, Amputee, (Right Adult) (Left Hemi) | 1 | 1 | ||||
1 |
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| Bracket, Amputee, (Left Adult) (Right Hemi) | 1 | 1 | ||||
2 |
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| Screw, Hex Head Cap | 1 | 2 | ||||
3 |
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| Screw, Hex Head | 1 | 2 | ||||
4 |
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| Locknut | 1 | 2 | ||||
5 |
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| Locknut | 1 | 2 | ||||
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| Instruction Sheet | 1 | 1 | ||||
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| D | See Chart |
| Rear | 1 | 1 | |||||
NOTE: |
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| D | 1058669 |
| Instruction Sheet | 1 | 1 | |||||
A |
| - Right=Adult, Left=Hemi |
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| B - Right=Hemi, Left=Adult |
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| C - Includes Items |
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| D - Not Shown |
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| Rear |
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| 1061112 |
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| 1 |
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| See Note(s) A, D, B |
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| 1061111 |
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| 1 |
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| See Note(s) A, C, D |
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NOTE: A - Includes Hardware |
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| B - For chairs with 6" Fork & Caster |
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| C - For chairs with 8" Fork & Caster |
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| D - Not SHown |
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Form No.
54
To order call toll free