Invacare®EspritAction®4NG
11Service
11.1Inspectionsperformed
Itisconrmedbystampandsignaturethatalljobslistedintheinspectionscheduleoftheserviceandrepairinstructions
havebeenproperlyperformed.Thelistoftheinspectionjobstobeperformedcanbefoundintheservicemanualwhichis
availablethroughInvacare.
DeliveryInspection1stAnnualInspection
StampofauthorizedInvacaredealer/Date/SignatureStampofauthorizedInvacaredealer/Date/Signature
2ndAnnualInspection3rdAnnualInspection
StampofauthorizedInvacaredealer/Date/SignatureStampofauthorizedInvacaredealer/Date/Signature
681640502-B