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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,
DELIVEREDTO____________________________
DEALER
_______________________________
__
R,R,#
__________
BOX#__________________
TDWN
__________________________________
__
TOWN~
....
______________________________
TRACTOR SERIAL
11
_______________________
_
STATE_________________________
TRACTOR ENGINE
11
_________________________
_
PHONE_____________________________
PR
E-DELIVE R
ED
B Y
___________________________
_
Use Instruction Book furnished with each
unit
when explaining Servicing, Mointenonce
and
Adjustr.1ents
ta
the
Operator
ond/or Mechonic
in
chorge,
All
applicabfe items
lisfed
beraw must
be
serviced before unit is delivered to the Purchoser.
IT
IS
THE DEALERS RESPONSIBILITY
TO
EXPLAIN CARE,
SAFE
OPERATION
AND
ADJUSTMENTS
OF
ITEMS LISTED
BELOW,
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 FILTERS
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
o
TORQUE
CONVERTOR & SHUTTLE CLUTCH
OIL
&
FILTER-CHECK
o STEERING BRAKES
o SHUTTLE CLUTCH
o HYDRAULIC
SYSTEMS
& OIL FILTERS
o
DRAWBAR
o
FINAL
DRIVE
o
TRANSMISSION
o BATTERY CARE
o
AIR
CLEANERS
o LIGHTS
o STARTING & STOPPING
o
STORING
TRACTOR
o TRACK ADJUSTMENT
o
WINCH
DRIVE
o OPERATORS SAFETY PRECAUTIONS
REMARKS:
________________________
~
WARRANTY
TO
BE
COMPLETED
BACKHOE:
MAKE
__________
_
MODEL
__________
_
SERIAL
No,
______
_
LOADER:
MAKE
__________
__
MODEL
SERIAL
No,
________
_
DOZERS:
MAKE
_________
__
MODEL
SERIAL
No.
_______
__
OTHER EQUIPMENT:
NAME
MAKE
MODEL
SERIAL
No.
______
_
It
[5 understood that the Allis-Chalmers. mochinery
is
sold
by
the Dealer with the standard
warranty
of
the Manufacturer,
set
forth
in
the Operators Manual.
This
worroniy
is
the
only
worranty eifher
express,
implied
r
ar
statutory, upon which sold maChinery is saId,
DELIVERY
AND
STARTING OF THE ABOVE DESCRIBED EQUIPMENT
HAS
BEEN MADE
ON
THE DATE SPECIFIED
AND
THE ABOVE
IS
A
CORRECT REPORT
OF
THIS DELIVERY.
THE
RECIPIENT
OF
THE MACHINERY ACKNOI'ILEDGES 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.
[
HAVE
BEEN
REQUESTED
TO
ADVISE
THE
DEALER
WHEN
THIS
TRACTOR
HAS
OPERATED
30
DAYS
(OR
100
HOURS}
SO
DEALER
REPRESENTATIVE
CAN
CHECK
ITS
ADJUSTMENTS
AND
PERFORMANCE,
DELIVERED
OWNER
___________
~-------------------
Signature
BY:
________________________
~--------
Dote
OPERATOR:
_______
ST.;;,~~----------------
2nd
Copy -
FOR
DEAlER'S
FILE
",~L"~~~,""~
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