Model #
____________
Serial #
____________
Fit and Finish
Inclusion
of all
Parts
Controller
Joystick Serial #
Power Module Serial #
Thank you for
making the Z11
your choice in
power chairs.
We have
thoroughly
inspected your
Z11. 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.