SRP NUMBER
NextGen LBR Frame Field Fix—
Connector Channel

DTT Ca ae

‘Quality

Ter Henry

OPERATION STATUS

OPERATION TIME:

OPR. TIME
15 minutes per LABOR TIME IS PROVIDED AS A GUIDE TO ESTIMATE OUT OF SERVICE TIMES.
seat
5 MINUTES

ADMIN per
vehicle

HSM WARRANTY

WARRANTY STATUS:

COVERAGE DESCRIPTION

PARTS AND HSM WILL SUPPLY SERVICE PARTS AT NO COST TO YOU, THE CUSTOMER, AS A GOODWILL. LABOR CHARGES
LABOR MUST INCLUDE AN INVOICE STATING LABOR RATE , LABOR TIME, BLUE BIRD F-BODY NUMBER, AND NUMBER
OF SEATS REPAIRED. TRAVEL TIME IS NOT INCLUDED,

HSM CUSTOMER SERVICE
CONTACT INFORMATION

Customer Service
256 Industrial Bvld.
Fort Valley, GA. 31030
PHONE: 478.822.0800

TSB PARTS KIT ORDER CARD
Technical Service Bulletin S19ZS

CUSTOMER NAME:

SHIPPING ADDRESS:
CITY: STATE: ZIP CODE:

VEHICLE IDENTIFICATION “F-BODY” NO(‘S):

(PLEASE ATTACH A LIST AS NECESSARY)
ORDER DATE: / /

EACH KIT CONTAINS PARTS TO CORRECT 12 NEXTGEN LAP BELT READY SEATS.

PLEASE SPECIFY THE ORDER QUANITY OF THE FOLLOWING PARTS:

HSM KITLBR-19 QTY. EA.

SIGNATURE: DATE:

TSB PARTS KIT ORDER CARD
Technical Service Bulletin S19ZS

CUSTOMER NAME:

SHIPPING ADDRESS:

CITY: STATE: ZIP CODE:
‘VEHICLE IDENTIFICATION “F-BODY” NO(‘S):

(PLEASE ATTACH A LIST AS NECESSARY),
ORDER DATE: / /

EACH KIT CONTAINS PARTS TO CORRECT 12 NEXTGEN LAP BELT READY SEATS.

PLEASE SPECIFY THE ORDER QUANITY OF THE FOLLOWING PARTS:

HSM KITLBR-19 QTY. EA.

SIGNATURE: _ DATE:

IRM

TRANSPORTATION SOLUTIONS:

256 Industrial Bvid.
Fort Valley, GA. 31030
ATTENTION: CUSTOMER SERVICE DEPT.

IRM

TRAHSPORTATION SOLUTIONS

256 Industrial Bvid.
Fort Valley, GA. 31030
ATTENTION: CUSTOMER SERVICE DEPT.

TSB RESPONSE CARD
Technical Service Bulletin # S19ZS

CUSTOMER NAME:

VEHICLE IDENTIFICATION F-BODY NO:
TSB COMPLETED BY:

COMPLETION DATE: L

PLEASE SELECT ONE OF THE FOLLOWING:
VEHICLE IS NO LONGER IN SERVICE - DECLINES TSB
____VEHICLE NO LONGER REGISTERED TO THIS OWNER
____TSB REMEDY HAS BEEN COMPLETED.
SIGNATURE: DATE:

or Fax: 419.492.2544

TSB RESPONSE CARD
Technical Service Bulletin # S19ZS

CUSTOMER NAME:
| VEHICLE IDENTIFICATION F-BODY NO:
| TSB COMPLETED BY:
| COMPLETION DATE: L

| PLEASE SELECT ONE OF THE FOLLOWING:

i VEHICLE IS NO LONGER IN SERVICE - DECLINES TSB
____VEHICLE NO LONGER REGISTERED TO THIS OWNER
____TSB REMEDY HAS BEEN COMPLETED

SIGNATURE:

HSM CONTAC

DATE:

[email protected] or Fé

419.492.2544

TSB RESPONSE CARD
Technical Service Bulletin # S19ZS

CUSTOMER NAME:

VEHICLE IDENTIFICATION F-BODY NO:
TSB COMPLETED BY:

COMPLETION DATE: 1 L

PLEASE SELECT ONE OF THE FOLLOWING:
____VEHICLE IS NO LONGER IN SERVICE — DECLINES TSB
____VEHICLE NO LONGER REGISTERED TO THIS OWNER
____TSB REMEDY HAS BEEN COMPLETED.

SIGNATURE: DATE:

or Fax: 419.492.2544

TSB RESPONSE CARD
Technical Service Bulletin # S$19ZS

CUSTOMER NAME:

VEHICLE IDENTIFICATION F-BODY NO: :
TSB COMPLETED BY: :
COMPLETION DATE: L :

PLEASE SELECT ONE OF THE FOLLOWING:
——VEHICLE IS NO LONGER IN SERVICE — DECLINES TSB
___ VEHICLE NO LONGER REGISTERED TO THIS OWNER,
____TSB REMEDY HAS BEEN COMPLETED

SIGNATURE: DATE:

HSM CONTACT: [email protected] or Fax: 419.492.2544