Invacare Formula - Manual (Page 135)

Front/Rear Arm Socket Assembly and Hardware
Elevate Only For ADJASBA Seat (16"-22" Wide) (After 7/4/05)
Item
Number Part Number Description Note
Quantity Per
Package Assembly
1125734 Kit, Front/Rear Arm Socket Assembly Mounting
Hardware 1 1 1 A
Screw, Hex Head w/ Patch (5/16-18 x 3/4") 1 2 2
Washer, Steel (5/16 x 3/4 x 1/16") 1 4 3
T-Nut (5/16-18) 1 4 4
Screw, Hex Head w/ Patch (5/16-18 x 5/8") 1 2 5
1122619 Socket, Arm, Front - Right 1 1 6
1122620 Socket, Arm, Front - Left 1 1 6
1125478 Bracket, Arm Socket/Cane, Rear - Right 1 1 7
1125479 Bracket, Arm Socket/Cane, Rear - Left 1 1 7
A - Includes items 2-5 NOTE:
134
To order call toll free 1-800-333-6900, or www.invacare.com
Form No. 04-041