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SERIAL NO TRACKING
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Fork Mounting Hardware - Standard (STD) and Frog Leg (FLOSF)

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Item

Part/Kit

Part/Kit Description

Qty/Pkg

Qty/Asbly

MSRP

View Parts Notes

1172691

Item	Part/Kit Description	Qty/Pkg	Qty/Asbly
3	Caster Holder Assembly w/ Screw	1	1
4	Nut, Square, Caster - Right (M6 x 1)	1	1
5	Nut, Eccentric (M6 x 1)	1	1
6	Nut, Eccentric, Base	1	1
7	Spacer, Fork	1	1
8	Locknut (1/2-20)	1	1
9	Washer, Belleville (1/4 x 3/8 x 1/16")	1	2
10	Screw, Socket Head, Cap (M6 x 1 x 22mm)	1	2
12	Fork Assembly w/ Bearings, Black	1	1

Kit, Hardware, Standard Fork - Right

$96.00

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1172692

Item	Part/Kit Description	Qty/Pkg	Qty/Asbly
3	Caster Holder Assembly w/ Screw - Left	1	1
4	Nut, Square, Caster - Left (M6 x 1)	1	1
5	Nut, Eccentric (M6 x 1)	1	1
6	Nut, Eccentric, Base	1	1
7	Spacer, Fork	1	1
8	Locknut (1/2-20)	1	1
9	Washer, Belleville (1/4 x 3/8 x 1/16")	1	2
10	Screw, Socket Head, Cap (M6 x 1 x 22mm)	1	2
12	Fork Assembly w/ Bearings, Black	1	1

Kit, Hardware, Standard Fork - Left

$96.00

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1180303

Item	Part/Kit Description	Qty/Pkg	Qty/Asbly
4	Nut, Square, Caster - Right (M6 x 1)	1	1
5	Nut, Eccentric (M6 x 1)	1	1
6	Nut, Eccentric, Base	1	1
9	Washer, Belleville (1/4 x 3/8 x 1/16")	1	2
10	Screw, Socket Head, Cap (M6 x 1 x 22mm)	1	2
11	Holder, Caster - Right	1	1

Kit, Hardware, Frog Leg Fork - Right

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1180304

Item	Part/Kit Description	Qty/Pkg	Qty/Asbly
4	Nut, Square, Caster - Left (M6 x 1)	1	1
5	Nut, Eccentric (M6 x 1)	1	1
6	Nut, Eccentric, Base	1	1
9	Washer, Belleville (1/4 x 3/8 x 1/16")	1	2
10	Screw, Socket Head, Cap (M6 x 1 x 22mm)	1	2
11	Holder, Caster - Left	1	1

Kit, Hardware, Frog Leg Fork - Left

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Assembly Part Notes

Note Code	Definition
A	Includes items 3, 4, 5, 6, 7, 8, 9, 10, and 12.
B	Includes items 4, 5, 6, 9, 10, and 11.

Catalog Literature

Parts Books for Reveal™ Wheelchair

Maximum of three products are allowed for comparison.

Maximum of three products are allowed for comparison.

Maximum of three products are allowed for comparison.

Fork Mounting Hardware - Standard (STD) and Frog Leg (FLOSF)

Create/add to Wishlist

Create/add to Wishlist

Create/add to Wishlist

Create/add to Wishlist

Create/add to Wishlist

Create/add to Wishlist

Create/add to Wishlist

Create/add to Wishlist

Assembly Part Notes

Catalog Literature