| Item | Part No. | Part Name | Qty | Serial No. |
| 1 | 20T-57-81110 | FRAME | 5001- | |
| 2 | 20T-57-81120 | CUSHION,BACK | 5001- | |
| 3 | 20T-57-81130 | CUSHION,SEAT | 5001- | |
| 4 | 20T-57-81140 | BRACKET | 5001- | |
| 5 | 20T-57-81160 | 5001- | ||
| 6 | 01010-80816 | BOLT | 5001- | |
| 7 | 01602-20825 | WASHER,SPRING | 5001- | |
| 8 | 01643-30823 | WASHER | 5001- | |
| 9 | 01546-10812 | NUT | 5001- | |
| 10 | 01370-00514 | SCREW | 5001- | |
| 11 | 01010-80825 | BOLT | 5001- | |
| 12 | 01643-30823 | WASHER | 5001- |