Item
Number
Note
Part Number
1
A
1030364
1
B
1031682
1
C
1036028
2
40131X161
3
40131X011
4
1015592
5
1043198-NLA
6
1012001
7
D
1030362
7
E
1036027
8
D
1115174
8
B
1129589
8
E
1129590
00077X031-NLA NLA - Warranty Card
F
1143155
G
1140099
NOTE:
A - 12"-20" wide systems with base
B - 16"-20" wide systems medium/tall seat-to-floor heights with base
C - 16"-20" wide systems with base and Compact Vent
D - 12"-20" wide systems with base
E - 16"-20" wide systems with base and Compact Vent
F - Not Shown
G - For Massachusetts providers only.
u
When adj
sting or replacing parts, please refer to your Owner's Manual for assistance.
Form No. 08-077
Packaging and Literature
Description
Carton, Cover
Carton, Cover
Carton, Cover
Insert, Plain Pad
Carton, Front Riggings
Bag, Poly (72" L x 35" W x 19" D)
NLA - Tube, Paper
Carton, Joystick
Carton, Tray
Carton, Tray
Carton, Corner Reinforcement
Carton, Corner Reinforcement
Carton, Corner Reinforcement
Owner's Manual, Formula CG Seating
Harness, Drive Lockout Mercury Free Ball Switch
(MK6i)
To order call toll free 1-800-333-6900, or www.invacare.com
9
Quantity Per
Package Assembly
1
1
1
1
1
1
1
2
1
1
1
1
1
1
1
1
1
2
1
2
1
4
1
4
1
4
1
1
1
1
1
1