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Model #____________
Serial #____________
Fit and Finish
Inclusion
of all
Parts
Thank you for
making the Jet 10
Ultra your choice
in power chairs.
We have
thoroughly
inspected your
Jet 10 Ultra. The
following
checkmarks
indicate that it
has been tested,
driven, and
inspected.
Performance
Date Inspected
Inspector
Pride keeps a more detailed report on file at the factory.
Controller
Joystick Serial #
Power Module Serial #