Autoadapt 6-Way Base User Manual page 93

A versatile seat base for easy transfer to and from the wheelchair inside the vehicle
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Date /
Service performed by /
in accordance with service schedule at
dealerweb.autoadapt.com
27
Signature of the installer
Date /
Service performed by /
in accordance with service schedule at
dealerweb.autoadapt.com
29
Signature of the installer
Date /
Service performed by /
in accordance with service schedule at
dealerweb.autoadapt.com
31
Signature of the installer
Frequency type /
Additional work done /
Frequency type /
Additional work done /
Frequency type /
Additional work done /
Date /
Service performed by /
in accordance with service schedule at
dealerweb.autoadapt.com
28
Signature of the installer
Date /
Service performed by /
in accordance with service schedule at
dealerweb.autoadapt.com
30
Signature of the installer
Date /
Service performed by /
in accordance with service schedule at
dealerweb.autoadapt.com
32
Signature of the installer
Frequency type /
Additional work done /
Frequency type /
Additional work done /
Frequency type /
Additional work done /

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