| Item | Part No. | Part Name | Qty | Serial No. |
| 1 | 22N-54-59940 | Bracket | 30403- | |
| 2 | 01010-D1025 | Bolt | 30403- | |
| 3 | 01643-71032 | Washer | 30403- | |
| 4 | 568-06-15910 | Mirror, Rearview | 30403- | |
| 5 | 20T-54-81730 | Mirror, Rearview | 30403- | |
| 6 | 22K-54-35290 | Support | 30403- | |
| 7 | 20T-54-81720 | Clamp | 30403- | |
| 8 | 01252-71030 | Bolt | 30403- | |
| 9 | 22N-54-59950 | Support | 30403- | |
| 10 | 01010-D1020 | Bolt | 30403- | |
| 11 | 01643-71032 | Washer | 30403- |