DELIVERY RECORD
INDUSTRIAL
EQUIPMENT
THIS
FORM
MUST
BE
FILLED
OUT,
IN
TRIPliCATE,
BY
THE DEALER
AND
SIGNED
BY
THE
CUSTOMER
AT TIME UNIT
IS
DEliVERED.
DEliVERED
TO_______________
DEALER
R.
R.
'1~
...
____
BOX
,,__________
TOWN
__________________
_
TDWN__________________
TRACTOR SERIAL
It
____________
_
STATE__________________
TRACTOR ENGINE
'1
_____________
_
PHONE__________________
PRE-DEliVERED
BY
_____________
_
Use InslroctJon Book furnished with
each
unit when
explaining
$ervicins,
Malntenonce end
Adiustments
to
the Operator
cnd/or
Mechanic
in
charge.
All
applicable
items
listed
below must
be
serviced
before
unit
is
delivered
to
th.e
Purchaser,
IT
IS
THE
DEALERS RESPONSIBILITY
TO
EXPLAIN CARE, SAFE OPERATION
AND
ADJUSTMENTS
Of
ITEMS LISTED
BE
LOW,
o SPECIFICATION
OF
LUBRICANTS
o SPECIFICATION
OF
FUEL
o LUBRICATION INTERVALS & SERVICES
o BREAK-IN PERIOD
o RADIATOR DRAIN
COCKS
o RADIATOR
PRESSURE
CAP
o FAN
BELT
o ENGINE LUBRICATION
SYSTEM
o FUEL
FIL
TERS
o STARTING
MOTOR
o
GEAR
SHIFT
o STEERING CLUTCHES
o ENGINE CONTROLS
o OPERATING CONTROLS & INSTRUMENTS
o FUEL
STORAGE
o LUBRICATION
OF
FRONT IDLERS,
TRACK ROLLERS,
&
TOP
SUPPORT
ROLLERS
REMARKS:
________
~
o
TORQUE
CONVERTOR & SHUTTLE CLUTCH
OIL
&
FILTER-CHECK
o STEERING 8RAKES
n SHUTTLE CLUTCH
o
HYDRAUliC
SYSTEMS
& OIL FILTERS
o
DRAWBAR
o
FINAL
DRIVE
o
TRANS,'.-IISSION
o BATTERY CARE
o AIR CLEANERS
o LIGHTS
o
ST
ARTING & STOPPING
o STORING TRACTOR
o TRACK ADJUSTMENT
:J
WINCH
DRIVE
o OPERATORS SAFETY PRECAUTIONS
WARRANTY
TO
BE
COMPLETED
BACKHOE:
MAKE
M8DEL
_____
_
SERIAL
No.
____
_
LOADER,
MAKE
_____
_
MODEL
SERIAL
No.
____
_
DOZERS:
MAKE
_____
_
MODEL
SERIAL
No.
____
_
OTHER
EQUIPMENT,
NAME
_____
_
MAKE
~.
_____
_
MODEL
SERIAL No.
____
_
!t
is understood
that
the
AI
tis-Chalmers mochinery
is
sold
by
the Dealer with
the
standard
warranty
of
the
Manufach.:rer
t
set
forth in the
Operotors
Manual,
This
warranty is the
only
warranty either express" implied, ar statutory, upon which soid machinery is
sold.
DELIVERY
AND
STARTING
OF
THE ABOVE DESCRIBED EQUIPMENT
HAS
BEEN
MADE
ON
THE DATE SPECIFIED
AND
THE
ABDVE
IS
A
CORRECT REPORT
DF
THIS
DEliVERY.
THE
RECIPIENT
OF
THE MACHINERY
ACKNOWLEDGES
THAT COMPLETE INSTRUCTIONS
ON
THE OPERATION, MAINTENANCE, CARE, ADJUSTMENTS
AND
SAFE OPERATING PRACTICES
OF
THIS EQUIPMENT
HAS
BEEN FURNISHED
TO
HIS
ORGANIZATION
TO
HIS
SATISFACTION,
USING
THE
OPERATOR'S INSTRUCTION
BOOK
AS
A GUIDE.
I
HAVE
BEEN
REQUESTED
TD
ADVISE
THE
DEALER
WHEN
THIS
TRACTOR
HAS
OPERATED
300AYS
[OR
100
HOURSl
SO
DEALER
REPRESENTATIVE
CAN
CHECK
ITS
ADJUSTMENTS
AND
PERFORMANCE,
DELIVER
ED
8Y:
Dealer
OWNER
_____
~~;;~---
__
-----
BY:
____________
--;:-
___
_
Dote
OPERATOR:
____
~~------------
Signature