Service; Inspections Performed - Invacare Storm 4 Series User Manual

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Invacare® Storm®⁴ Series

12 Service

12.1 Inspections performed

It is confirmed by stamp and signature that all jobs listed in the inspection schedule of the service and repair instructions
have been properly performed. The list of the inspection jobs to be performed can be found in the service manual which is
available through Invacare.
Delivery Inspection
Stamp of authorized provider / Date / Signature
2nd Annual Inspection
122
1st Annual Inspection
Stamp of authorized provider / Date / Signature
3rd Annual Inspection
1529686-U

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