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.It
______
BOX
It
_________
_
TOWN
__________________________________
__
TOWN
_________________
__
TRACTOR
SERIAL
It
______________
_
STATE
__________________
_
TRACTOR
ENGINE
'Ii
___________________________
_
PRE-DELIVERED
BY
___________________
_
PHONE
_______
~-----------------------
Use
Instruction Book furnished with
each
unit when
explaining
Servicing,
Maintenance and Adjustments
fo
the
Operator ond/or Mechonic in
charge. All applicable items listeci below
must
be
serviced
before
unit is delivered to the Purchaser,
IT
IS
THE
DEALERS
RESPONSIBILITY
TO
EXPLAIN
CARE,
SAFE
OPERATION
AND
ADJUSTMENTS
OF
ITEMS
LISTED
BELOW:
D SPECIFICATION
OF
LUBRICANTS
o SPECIFICATION
OF
FUEL
o LUBRICATION INTERVALS
8.
SERVICES
o BREAK-IN
PERIOD
o
RADIATOR
DRAIN
COCKS
o
RADIATOR
PRESSURE
CAP
o
FAN
BELT
o
ENGINE
LUBRICATION
SYSTEM
D FUEL FILTERS
D
STARTING
MOTOR
D
GEAR
SHIFT
D
STEERING
CLUTCHES
o
ENGINE
CONTROLS
o
OPERATING
CONTROLS
&
INSTRUMENTS
D FUEL
STORAG
E
o LUBRICATION
OF
FRONT
IDLERS,
TRACK
ROLLERS,
&
TOP
SUPPORT
ROLLERS
o
TORQUE
CONVERTOR
8.
SHUTTLE
CLUTCH
OIL
8.
FILTER-CHECK
o
STEERING
BRAKES
o
SHUTTLE
CLUTCH
o HYDRAULIC
SYSTEMS
& OIL FILTERS
o
DRAWBAR
o FINAL
DRIVE
o
TRANSMISSION
D BATTERY
CARE
o
AIR
CLEANERS
o
LIGHTS
o
STARTING
&
STOPPING
o
STORING
TRACTOR
o
TRACK
ADJUSTMENT
o
WINCH
DR
IVE
o
OPERATORS
SAFETY
PRECAUTIONS
REMARKS'
_____________________________________________
___
WARRANTY
TO
BE
COMPLETED
BACKHOE,
MAKE
_________
_
MODEL
__________
_
SERIAL
No.
__
_
LOADER,
MAKE
__________
__
MODEL
SERIAL
flo.
_________
_
DOZERS:
MAKE
_______
__
MODEL
SERIAL
No,
____
_
OTHER
EQUIPMENT:
NAME
_
__
____
__
MAKE
MODEL
SERIAL
No.
_
...
_______
__
It
is
understood that
the
Allis-Chalmers
machinery
is
sold
by
the
Dealer with the stondord
warranty
of the Manufacturer,
set
forth
10
the
Operators Manual. This warranty is
the
only
warranty either
express,
implied,
or
statuforY
I
upon
which
soid
machinery is
sold.
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
ACKNOWLEDGES
THAT
COMPLETE
INSTRUCTIONS
ON
THE
OPERATION,
MAINTENANCE,
CARE,
AD:JUSTMENTS
AND
SAFE
OPERATING
PRACTICES
OF
THIS
EQUIPMENT
HAS
BEEN
FURNISHED
TO
HIS
ORGANIZATION
TO
HIS
SATISFACTION,
USING
THE
OP
ERATOR'S
INSTRUCTION
BOOK
AS
A
GUIDE.
I
HAVE
BEEN
REQUESTED
TO
ADVISE
THE
DEALER
WHEN
THIS
TRACTOR
HAS
OPERATED
30
DAYS
(OR
100
HOURSI
SO
DEALER
REPRESENTATIVE
CAN
CHECK
ITS
ADJUSTMENTS
AND
PERFORMANCE,
DELIVER
ED
BY:
____
-:::-;-
________________
_
Dealer
OWNER
____________
~----------------------
Signature
BY:
_________________________
-,:-
______
_
Dote
OP
ERA
TOR:
________
-::~-------------------
Signature
3rd
Copy-FOR
CUSTOMER
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