Invacare Formula - Manual (Page 85)

Back Mounting Hardware
Conventional Tilt - Before 5/15/09
Item
Number Part Number Description Note
Quantity Per
Package Assembly
1125757 Kit, Back Mounting Hardware For Conventional Tilt 1 1 1 A
Locknut (1/4-20) 1 4 2
Washer (1/4 x 23/32 x 1/16") 1 8 3
Spacer, Coved (1/4 x 7/8 x 7/16") 1 4 4
Spacer (1/4 x 5/8 x 3/8") 1 4 5
Screw, Socket Button Head (1/4-20 x 2") 1 4 6
A - Includes items 2-6 NOTE:
84
To order call toll free 1-800-333-6900, or www.invacare.com
Form No. 04-041