Low Cost Mobility 250 GK83 User manual

1
250 GK83
300 GK73
400 889NRF
User Manual
300 GK9
400 778SS

2
Table of Contents
INTRODUCTION……………………………………………………………..….………… 3
FEATURE GUIDE………………………………………………………………………….. 3-5
SAFETY ADVICE……………………………………………………………………...…... 6
EMI WARNING………………………………………………………….…………………. 7
ADJUSTMENTS………………………………………………….………………………… 8-9
SCOOTER TILLER CONTROLS………………………………….………………………. 10-11
DRIVE/FREEWHEEL OPERATION………………………………………………………. 12
STARTING TO DRIVE YOUR SCOOTER…………………………………………………13
EXTRA GUIDELINES IN THE CONTROL OF YOUR SCOOTER……………………….14-15
BATTERIES AND BATTERY CHARGING………………………………….…………... 16-17
MAINTENANCE……………………………………………………………………………. 18
TROUBLESHOOTING GUIDE…………………………………………………………….. 18
TECHNICAL SPECIFICATIONS……………………………………………………………19
QUARTERLY INSPECTION………………………………………………………………..20
WARRANTY and DISCLAIMER………………………………………………..………… 21
NOTES………………………………………………………………………………………. 22-23

3
INTRODUCTION
Congratulations you are now the proud owner of a Low Cost Mobility Scooter. Your Low Cost
Mobility scooter incorporates the latest innovative design patented and only available through
Low Cost Mobility. Your scooter may be used in both indoors as well as outdoors. Direct drive
transaxles and electromagnetic brakes give a safe and efficient ride. This Low Cost Mobility
scooter is designed for persons with limited mobility.
Please ensure that you read this manual carefully, it is important for your safety that you
understand the guidelines and instructions given.
FEATURE GUIDE (FIG. 1-5)
Liberty 250 GK83 (Figure 1)
1. Tiller control head
2. Detachable seat with fold down
3. Flip down arm rest
4. Detachable basket
5. Adjustable width height armrest
6. Tiller adjustment knob
7. Swivel seat lever and seat release lever
8. Head light
9. Foot rest
10. Anti tip wheels
11. Free Wheel lever
12. Battery Pack Charger Port Figure 1
Liberty 300 GK73 (Figure 2)
1. C-bar Tiller control head
2. Head light
3. Anti-Tip wheels
4. Side reflectors
5. Adjustable width height armrests
6. Swivel seat and seat release lever
7. Fold down Seat
8. Foot Rest
9. Free wheel lever
10. Detachable basket
11. Thumb controlled tiller angle adjust
12. Battery Pack Charger Port Figure 2
1
2
3
4
9
8
10
12
3
4
6
7
8
9
5
11
10
6
5
12
7
11
12

4
Liberty 300 GK9 (Figure 3)
1. C-bar Tiller control head
2. Head light
3. Anti-Tip wheels
4. Side reflector
5. Adjustable width height arm rests
6. Swivel seat
7. Fold down Seat
8. Foot Rest
9. Free Wheel lever
10. Detachable basket
11. Tiller Adjust Lever
12. Battery Charger Port
Figure 3
Liberty 400 889NRF (Figure 4)
1. Delta Tiller control head
2. Head light
3. Anti-Tip wheels
4. Side reflectors
5. Adjustable width height arm rests
6. Swivel seat
7. Seat height adjustment
8. Fold down Seat
9. Foot Rest
10. Tiller Adjustment lever
11. Detachable basket
12. Battery Charger Port
Figure 4
1
23
4
5
6
7
8
9
10
11
1
23
4
7
8
10
11
9
5
12
12
6

5
Liberty 400 778SS (Figure 5)
1. Delta Tiller control head
2. Head light
3. Anti tip wheels
4. Adjustable width height arm rests
5. Swivel Seat
6. Seat Height adjustment
7. Reclining captain’s seat
8. Foot rest
9. Tiller adjustment lever
10. Detachable basket
11. Battery charging inlet
.
Figure 5
1
3
4
25
7
6
8
9
10
11

6
SAFETY ADVICE
• Do not carry passengers.
• Do not exceed inclines over 8 degrees (14% grade).
• Do not turn on steep inclines.
• Do not turn suddenly at high speeds.
• Do not get on or off the scooter unless the brake is on and the scooter is switched off.
• Do not switch off the scooter while the scooter is moving.
• Do not drive the scooter where you can not safely or legally walk.
• Do not attempt to drive over curbs greater than 2 inches (5cm.) in height. Doing so could cause your
scooter to turn over, causing injury or damage to the scooter. For curbs less than 2 inches, always
approach them at an angle of 90 degrees and at a low speed.
• Do not drink or use a mobile phone when driving your scooter.
• Do not exceed the suggested user weight limit. Doing so, could cause personal injury and invalidate the
warranty.
• Always keep your feet on the scooter when moving.
• Consult your doctor if there is any doubt about your ability to use a scooter safely.
• Always slow down and proceed carefully when traveling over rough or uneven ground.
• For individuals with balance problems, practice getting on the scooter with the assistance of a qualified
healthcare professional.
• If equipped, DO NOT operate the scooter without anti-tip wheels installed.
• Do not use an escalator to move a scooter between floors. Serious injury could occur.
• Do not drive the scooter on an incline that has oil, water or ice film on it.
• Do not try to lift the scooter by its seat, tiller, rear chassis cover, or any removable parts. Any of these
could cause injury to the user or damage to the scooter.
• Do not use parts or accessories that are not authorized by Low Cost Mobility.
• Before sitting in or exiting the scooter, REMOVE the key from the ignition. This will insure the
POWER is off and the scooter can not move under its own power.
• As a general precaution, always remove the key from the ignition while the scooter is not in use. This
will prevent use by untrained and unauthorized persons.
• Do not connect any medical device to the scooter battery. This could cause failure of the device, the
scooter and personal injury.
• Make sure the tiller is properly adjusted to the user or damage and injury could result.
• Low Cost Mobility doesn’t recommend that scooter users be transported in a vehicle WHILE they are
in the scooter…and will not be responsible for any injury or damage that might result. Do not use the
scooter in the rain, near a shower or in a damp bathroom. Direct exposure to rain or damp areas could
cause the scooter to electrically malfunction and prematurely rust.

7
EMI Warning
Low Cost Mobility scooters may be susceptible to electromagnetic interference (EMI), which is a kind
of interfering electromagnetic energy (EM) emitted from sources such as radio stations, TV stations,
amateur radio (HAM) transmitters, two-way radio, and cellular phones. The interference (from radio
wave sources) can cause the scooter to release its brakes, move by itself, or move in unintended directions.
It can also permanently damage the scooter’s control system.
The sources of radiated EMI can be broadly classified into three types:
1. Hand-held portable transceivers (transmitters-receivers) with the antenna mounted directly on the
transmitting unit. Examples include: citizens band (CB) radios, “walkie talkie”, security, fire and
police transceivers, cellular telephones, and other personal communication devices.
NOTE! Some cellular telephones and similar devices transmit signals while they are ON, even when
not being used.
2. Medium-range mobile transceivers, such as those used in police cars, fire trucks, ambulances, and
taxis. These usually have the antenna mounted on the outside of the vehicle.
3. Long-range transmitters and transceivers, such as commercial broadcast transmitters (radio and TV
broadcast antenna towers) and amateur (HAM) radios.
NOTE! Other types of hand-held devices, such as cordless phones, laptop computers, AM/FM
radios, TV sets, CD players, and cassette players, and small appliances, such as electric shavers and
hair dryers, so far as we know, are not likely to cause problems to the scooter.
Scooter Electromagnetic Interference (EMI)
Because EM energy rapidly becomes more intense as one moves closer to the transmitting antenna
(source), the EM fields from hand-held radio sources (transceivers) are of special concern. It is possible to
unintentionally bring high levels of EM energy very close to the scooter’s control system while using
these devices. This can affect scooter movement and braking. Therefore, the warnings listed below are
recommended to prevent possible interference with the control system of the scooter.

8
ADJUSTMENTS
Tiller Angle Adjustment
(Fig. 6A)
On the left hand side of the tiller is a
red lever. Pull the lever up to release
the pin and select the required tiller
angle. Refit the pin into one of the
five location holes.
(Fig. 6B)
At the base of the tiller is a round knob.
Turn the knob counterclockwise to loosen the tiller
and select the desired tiller angle. Turn the knob
clockwise to securely lock the tiller into place.
(Fig. 6C)
At the base of the tiller is a round knob.
Turn the knob counterclockwise to loosen
the tiller and select the desired tiller angle.
Turn the knob clockwise to securely lock
the tiller into place.
NOTE: For Safety, this lock is designed
to break away if the scooter is driven
when locked.
DO NOT DRIVE SCOOTER IF TILLER IS NOT SECURED.
Seat Slide & Swivel Adjustment
(Fig. 7A)
Pulling up on the seat slide lever allows
the seat position to be adjusted forward or
backward. Release the lever and the seat
will lock in the position. Under the right
side of the seat there is a spring loaded
red lever. Pulling up on the lever allows
the seat to swivel, when released the seat
will lock into one of 4 positions.
(Fig. 7B)
Lift the swivel seat release handle up to lift
the seat up and off the seat post.
Tiller
Angle
Adjustment
Lever
Figure 7A
Seat Slide
Lever
Swivel Seat
Adjustment
Lever
Tiller
Angle
Adjustment
Knob
Tiller Angle
Adjustment
Lever
Figure 6A
Figure 6B
Figure 6C
Figure 7B
Swivel Seat
Release
Handle

9
Seat Removal
(Fig. 8A)
Fold down the back of the seat. Pull up
the red swivel seat adjustment lever (fig. 7A)
and lift seat off. Remove the hand knob
and locking pin that secures the seat
adaptor. Lift the seat adaptor out of the
seat post.
(Fig. 8B)
Remove seat as described (fig 6). Remove
battery pack (refer to disassembly section).
Using two 13mm wrenches, remove locking
bolt and nut. Adjust seat post up or down to
desired position. The seat height can be
adjusted to five different positions by inserting
the locking bolt in the desired hole. Replace
washer and nut and tighten. Replace battery pack
and seat.
Armrest Width Adjustments (Fig. 9)
On the underside of the seat there are two
hand knobs, one either side. Loosening
the hand knob allows the arm rest to be
adjusted to the required width, or removed
for transportation.
DO NOT USE SCOOTER WITHOUT THE
ARM RESTS BEING FITTED & SECURED.
Armrest Angle Adjustment (Fig. 10)
Flip up the armrests to allow access to the
adjustment screw and lock nut, unscrew
the lock nut and screw the bolt in or out
to increase or decrease the angle.
Re-tighten the lock-nut.
The armrests are set parallel to the floor
at the factory.
Figure 10
Figure 8A
Seat
Ada
p
to
r
Seat
Tightening
Hand
Seat
Locking
Pin
F
i
g
ure 9
Armrest
Adjustment
Hand Knob
Locking
N
ut and
Bolt Adjustment
Screw
Locking
Bolt
Seat
Post
Adjustment
Holes
Figure 8B

10
SCOOTER TILLER CONTROLS
Speed Controls
The speed control allows you to set a speed between 1 (minimum) and 10 (maximum).
Battery Level Indicator
The number of LED bars lit, shows the amount of charge left in your batteries. The amount of charge will
only show at its true level when the scooter is in drive.
Caution – Do not allow the LED bars go out completely as complete discharge of the batteries could
cause irreversible damage.
Lights
A blue colored button at the rear of the tiller operates the lights.
Horn
A yellow button at the rear of the tiller operates the horn.
Thumb/Finger Lever Controls
The left thumb/finger lever controls the reverse and the right thumb/finger lever controls the forward
motion. The amount of pressure applied to each lever will determine the speed the scooter travels at.
Release the lever and the scooter will slowly come to a stop and the electromagnetic brake will be applied.
On/Off Key Switch
Insert the key in the right side of the tiller. Turn the key and the LED bars will light up. There is a delay
before the thumb/finger lever control can be operated, while the controller is checking the circuits.
Figure 12 Figure 13
Battery
Level
Speed
Control
On/Off
Key
Horn
Thumb
Lever
Thumb
Lever
Battery
Level
Indicator
Lights
Key
Switch
Horn
Finger
Lever
Control
Charging
Port
Speed Controls

11
Figure 14
Figure-16A Figure-16B
Electromagnetic Brake
The brake is automatically operated when the thumb/finger accelerator control levers are released. There
is a slight delay when the scooter decelerates; this allows the scooter to come to a smooth stop.
Figure 15
Battery Level
Indicato
r
Horn
Key Switch
Thumb Lever
Control
Li
g
ht
Speed
Controls
Lights
Battery Level Indicator
Finger
Lever
Control
Speed
Controls
Indicator
Switch
Horn Key
Switch
Finger
Lever
Control
Charging
Port
Indicator
Switch
Speed
Controls
Speed
High/Low
Switch
Hazard
Lights
Li
g
ht
Battery Level
Indicato
r
Hazard
Lights
Key
Switch

12
FREE WHEEL OPERATION (Fig. 17A&B&C&D)
The free wheel lever allows you to put the scooter in neutral and push it. To push the scooter(neutral) lift
the free wheel lever up. Push the lever forward to push scooter in neutral. To put the scooter in gear
(drive), push the lever reverse. To put scooter in gear push the lever down. The scooter will not operate
when the lever is up (neutral).
WARNING! For safety, always put the scooter into gear after pushing or rolling scooter. Failure to do
so may result in injury.
Anti-tip Wheels
The anti-tip wheels are located at the rear of the scooter frame. The scooter should not be used unless the
anti-tipping wheels are in place.
Low Cost Mobility is not responsible for damage or injury incurred due to improper or misuse of the
scooter.
Circuit
Breaker
Circuit
Breaker
Circuit
Breaker Charging Port
Freewheel
Release
Lever
Anti-tip
Wheels
Freewheel
Release
Lever
Charger
Storage
Detach Lever
(yellow)
Charger
Storage
Detach Lever
(yellow)
Freewheel
Release
Lever
Freewheel
Release
Lever
Anti-tip
Wheels
Figure 17A Figure 17B
Figure 17C Figure 17D

13
STARTING TO DRIVE YOUR SCOOTER
Getting Started
• You must charge your scooter completely before first time use (8-12 hours).
• Select a level area with plenty of space.
• Mount the scooter, either by lifting the arm and sliding onto the seat or rotate the seat outwards, mount
and then rotate the seat back to face the tiller.
• Adjust the tiller and seat as previously described
Starting Scooter Movement
• Ensure that you are seated in a comfortable position.
• Turn the key to the ON position.
• Your speed setting should be on 1 or 2. If equipped, set the speed high/low switch to low.
• Pull/press your right hand finger/thumb lever, the scooter will move forward slowly. The further you
pull/press the faster the scooter goes but will only reach the speed level that has been selected.
• Release the lever and the scooter will slowly come to a stop as the magnetic brake is automatically
applied.
Steering
Steering the scooter is light and easy. Ensure when starting off you give a wide clearance when turning so
that the rear wheels clear any obstacle that you are passing. When steering through limited spaces such as
a doorway or when turning around, turn the tiller handles where you want to go and apply power gently.
The scooter will turn very tightly, but will still move with complete stability as long as the speed is not too
high.
Reversing
Before reversing ensure that the area behind is free from any hazards or obstructions. Adjust your speed
setting to a low setting before you reverse. Pull/press the left finger/thumb lever, and steer wide of all
corners and obstacles.
Dismounting
Before dismounting ensure that the key is turned to the off position. Raise the arm rest to slide off the seat
or turn the swivel seat outward.
CAUTION: Please ensure that care is exercised when mounting or dismounting the scooter and that
the tiller, seat back and foot rest are not used for support. For support, use the arm rests.

14
EXTRA GUIDELINES IN THE CONTROL OF YOUR SCOOTER
Ramps
The stability of your scooter is governed by several factors such as the seating position, the angle of the
slope and your height and weight. When approaching an incline, do so directly and not at an angle and
whenever possible avoid making turns. When going down a ramp or slope keep the speed settings to slow.
This will ensure there is a safe controlled descent. When the thumb/finger levers are released the scooter
will slowly come to a stop.
Safe Climbing Angle
Always follow the guidelines of the safe climbing angle as shown for the Liberty 250 (in figure 18) and
the Liberty 300 ( in figure 19) , and the Liberty 400 (figure 20).
Caution - Do not turn the key off while the unit is in motion.
Grass and Gravel
Please follow the guidelines previously given and your scooter will perform admirably over many surfaces.
Avoid long grass, loose gravel and sand.
NOTE: You should not operate your scooter in wet weather or on wet surfaces.
NOTE: To preserve battery charge, your scooter may go into sleep mode after being idle for a few
minutes. To remove from sleep mode, turn the key off and back on again.
Figure18 Liberty 250

15
Figure19 Liberty 300
Figure 20 Liberty 400

16
BATTERIES AND BATTERY CHARGER
All Low Cost Mobility scooters requires two maintenance free, sealed lead acid batteries or gel batteries.
Battery performance can be affected by temperature, terrain, condition of battery, the weight of the user,
etc. The battery level indicator/gauge is only a guide and is most effective when the scooter is in drive,
only then is the true battery discharge level displayed.
• When the scooter stops the battery level indicator may indicate full (no load on batteries).
• An active user can use up to 30% of battery capacity or more per day.
• Inactive users may only use 50% of battery capacity in a week.
• In both these instances the batteries should be put on charge over night.
Battery Charger
Batteries required for your scooter are specially designed. All Low Cost Mobility scooters require a
Low Cost Mobility automatic battery charger. These chargers have an electronic switch that will
terminate the charge when the batteries are fully charged. All Low Cost Mobility chargers rely on a
specific minimum feed-back voltage signal from the batteries in order to begin the charging cycle. If the
batteries are severely discharged, the charger does not receive the required feed-back signal and the
charger will not charge the batteries. Please contact your authorized Low Cost Mobility for assistance.
The battery charger supplied for the Low Cost Mobility, Liberty 250 GK83 and in 24 volt 2 amp
transformer type off-board charger. The battery charger supplied for the Low Cost Mobility Liberty 300
GK73, Liberty 300 GK9 and Liberty 400 889NRF scooters are a 24 volt 3 amp transformer type off-board
charger. The Low Cost Mobility Liberty 400 778SS battery charger is a 4-amp on board. The scooter has
a on board charger port at the front floor board of the tiller handle.
• Active users: Charge daily
• Occasional users: Charge your battery before any outing and always after active use.
WARNING: Only use the original approved charger!
This charger is for indoor use only. DO NOT expose it to rain or water spray.
Do not leave the charger plugged into the charger port if the charger is not charging.

17
Charging
Charge the batteries completely (8-12 hours) prior to first time use. To charge the batteries connect the
plug lead into the battery-charging socket on the scooter tiller (except for the Liberty 250 GK83 in which
the connection is only to the battery pack, also the Liberty 300 GK73 and the 300 GK9 have this feature as
an additional option) and the 3-prong A/C plug into the wall socket. The battery charger has two lights.
The red light when constant shows the battery charger is connected, if the red light flashes; there is a break
in the connection. The green light flashes when the batteries are receiving charge and is constant when the
charge is complete. For Liberty 400 778SS: The battery charger has two lights. The red light shows the
battery charger is connected and has power (switched on). The second light will show a gold light while
charging and a green light when the charge is complete.
For Liberty 250 GK83:
The battery has one light. The red light shows that the batteries are receiving a charge. The green light is
shown when charging is complete.
CAUTION: Always ensure that the charging lead is in good condition and has not been damaged or
stretched.

18
MAINTENANCE
Lubrication
At six-month intervals you should lubricate the following parts with a multipurpose grease or similar
lubricant:
• Seat pivot post.
• Seat release lever pinion.
• Clean and recoat axles lightly.
CAUTION – DO NOT USE WD40 TO LUBRICATE PARTS!! DO NOT LUBRICATE TRANSAXLE
GEARS!! In the event of any difficulties please consult your provider.
Wheels and Tires
The wheels of your scooter have split rims. This allows any punctures to be repaired easily.
To change the wheel remove the center 13 mm bolts and slide the wheel off its axle. Ensure that when
refitting the wheel the retaining bolt is fitted with a locking washer or the screw threads are treated with
lock-tite or a similar adhesive. When changing a tire the inner tube must be deflated. Remove the four
bolts from the wheel and split the rim. Tire pressure is recommended to be kept at 30 psi on the rear tires,
and 25 psi on the front.
General Scooter Maintenance
Every six months check the tiller base bolts, wheel axle bolts, and arm rest angle adjustment bolts and
tighten as necessary. Also check the seat and arm rest tightening knobs and tighten as needed.
TROUBLE SHOOTING GUIDE
Circuit Breaker
Your scooter is fitted with the latest in electronic controls that are programmed to protect the electrical
system from abnormal overloads. Fitted for extra protection is a circuit breaker, should there be a
situation that your scooter stops for no apparent reason please check that the circuit breaker has not
popped out or tripped. The circuit breaker can be found under the rear chassis cover accessible through a
port hole under the seat.
Check List
If your scooter fails to operate, please check the following:
• Unit is switched on.
• All plugs and connectors are firmly fixed.
• Battery level shows full charge.
• Freewheeling device is in the drive position (lever down).
• Circuit breaker is reset.
• Battery fuses are not blown.
If the free wheel device has been operated with the scooter switched on, then the scooter will not operate
until the ignition key has been switched off and then on again in order to reset the circuits.
Please consult your provider if your scooter does not run after checking these points.

19
TECHNICAL SPECIFICATIONS
ALL SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT PRIOR NOTICE.
1. Length includes the Anti-Tip wheel. Height from floor to seat (variable).
2. Driver weight may exceed weight of the unit; speed must be reduced when turning.
3. The actual driving range varies with the factors shown below:
a) the weight of occupant
b) ground surface
c) battery conditions
d) type of charger
e) ambient temperature
f) the way of driving
g) terrain
UNIT SPECIFICATIONS
Liberty Scooters
250 GK83
4 3 Wheel
300 GK73
3 Wheel
300 GK9
4 Wheel
400 778SS
3 Wheel
400 889NRF
4 Wheel
Overall Dimensions: L¹
x W x H¹in 38 x 20 x 31-35 44 x 21 x 34
38.8” x 22”
x 36”
41.3” x 22” x
35”
50 x 26 x 48 53 x 25 x 49
Front 1 , 8”
2 , 7” 1 , 9 2 , 9 1 , 10” 2 , 12.5”
Number, Size of Tires
Rear 2 , 8” 2 , 9 2 , 9 2 , 12 2 , 12.5”
Suggested User Weight
(on the level road)
lb Max. 250 Max. 300 Max. 300 Max. 400 Max. 400
Weight of Heaviest Part
(w/o battery, baskets
and seat)
lb
33 35 35
44 xx xx
Total Weight
(w/batteries,basket,
seat)
lb
94
101
110
140
110
150
200
242 211
Each Battery Module
Weight lb 22 32 32 35 xx xx
Maximum Battery
Module Capacity
_V_Ah
x Pcs 12V12Ah x 2 12V21Ah x 2 12V21Ah x 2 12V50Ah x 2 12V36Ah x 2
Charger Off Board (2A) Off Board
(3A)
Off Board
(3A) On Board (4A) Off Board (3A)
Output Power of Motor hp(W) 0.45 (338)
0.5 (375)
0.75 (563)
(550)
0.75 (563)
(550)
0.87 (650)
2 (1492)
0.87 (650)
1.5 (1100)
Maximum Speed2mph 3.8
Approx. 3.1~3.8
3.8
Approx.
3.1~3.8
3.8
Approx.
3.1~3.8
6.9-7.5
Approx. 6.9~7.5 Approx 6.9-7.5
Maximum Climbing
Angle (based on user
weight of
90kg/200lb)/Safe
Climbing Angle
% ( º ) 10(6) / 17 (10) 10 (6)/ 16(9) 10 (6)/ 16(9) 10 (6)) 10 (6))
Range3(per charge w/
STD 33-36AH Battery /
200
lb User Weight) (After
the battery and
mechanical moving
parts fully break in)
mile 7.5
6.9~7.5
11.2
8.8~10
11.2
8~9.4
20
16.3~17.5
14~16
16~19
*Range varies
with the weight
of occupant
and other
factors
Turning Radius in 32 34 31.5 34 45 49.2 51 50 57
Handle Bar Type T-BAR C-BAR C-BAR DELTA DELTA

20
QUARTERLY INSPECTION
For your own safety, quarterly inspection and service on the product with signature by an authorized
dealer is strongly recommended. There may be a nominal dealer fee for this service not covered by
warranty. Maintenance records (below) should be kept at all times. The manufacturer / distributor /
vendor will be indemnified from any product liability claim if the above maintenance / service
requirement are not met.
NOTE! Regular (Monthly) inspection is strongly recommended by the manufacturer to ensure ultimate
performance of the vehicle.
Service Record: Date of Purchase: / /
Purchaser:_________________________________________________________
Model #: _______________ Serial #: ___________________________________
Provider Unit Was Purchased From: ___________________________________
M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y
M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y
M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y
M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y
M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y
M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y