Invacare Formula - Manual (Page 33)

ADJASBA Seat Frame, Seat Pan and Hardware
(20"-22" Wide) x (16"-22" Deep) After 7/4/05
Item
Number Part Number Description Note
Quantity Per
Package Assembly
1120288 Frame, Center Seat, Black 1 1 1 D
1120283 Crossbar, Seat Frame (20" - 24" W) 1 4 2
1122647 Rail, Seat Frame (16 - 20" D For Formula TRE and
16 - 19" D For ADJASBA) 1 2 3
1122677 Rail, Seat Frame (20 - 22" D Formula TRE) (19 -
22" D ADJASBA) 1 2 3
1124388 Pan, Seat, with Hook and Loop Fasteners (20 - 24"
W) x (16 - 20" D For Formula TRE) & (16 - 19" D
For ADJASBA) 1 1 4
1124667 Pan, Seat with Hook and Loop Fasteners (20 - 24"
W) x (20 - 22" D For Formula TRE) & (19 - 22" D
For ADJASBA) 1 1 4
1043082 Hook Fastener with Adhesive Back (2" W x 18" L) 1 2 5 A
1044580 Loop Fastener with Adhesive Back (2" W x 18" L) 1 2 5 A
1043084 Hook Fastener with Adhesive back (2" W x 22" L) 1 2 5 B
1044584 Loop Fastener with Adhesive back (2" W x 22" L) 1 2 5 B
1135501 Kit, Seat Frame Assembly Hardware 1 1 6 C
Screw, Hex Head w/ Patch (1/4-20 x 3/4") 1 8 7
Washer (1/4 x 1/2 x 1/16") 1 2 8
Spacer, Coved (1/4 x 11/16 x 1/2") 1 4 9
Screw, Socket Button (1/4-20 x 3/4") 1 2 10
Pin, Roll (3/16 x 1") 1 2 11
1114823 Decal, Seat Adjustment Warning 1 2 12
A - For 16"-19" deep seats
B - For 19"-22" deep seats
C - Includes items 7-11
D - When ordering Center Seat Frame (item 1), also order 2 ea. Seat Adjustment Warning Decal (item 12). NOTE:
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To order call toll free 1-800-333-6900, or www.invacare.com
Form No. 04-041