| Item | Part No. | Part Name | Qty | Serial No. |
| 1 | 21W-57-11130 | CUSHION,SEAT | 3401- | |
| 2 | 21W-57-11140 | CUSHION,BACK | 3401- | |
| 3 | 21W-57-11150 | PLATE,L.H. | 3401- | |
| 4 | 21W-57-11160 | PLATE,R.H. | 3401- | |
| 5 | 01010-50825 | BOLT | 3401- | |
| 6 | 01602-20825 | WASHER,SPRING | 3401- | |
| 7 | 203-57-51570 | ADJUSTER,L.H. | 3401- | |
| 8 | 203-57-51562 | ADJUSTER,R.H. | 3401- | |
| 9 | 01010-50820 | BOLT | 1001- | |
| 10 | 01643-30823 | WASHER | 1001- | |
| 11 | 01580-10806 | NUT | 3401- | |
| 12 | 01643-30823 | WASHER | 3401- | |
| 13 | 21X-57-11111 | COVER | 3401- | |
| 14 | 21X-54-13280 | BOLT | 3401- | |
| 15 | 21X-54-13260 | WASHER | 3401- | |
| 16 | 20U-54-12291 | LOCK | 3401- | |
| 17 | 21W-57-11210 | CUSHION,(FOR CANOPY) | 3401- | |
| 18 | 01010-50825 | BOLT,(FOR CANOPY) | 1001- | |
| 19 | 01643-30823 | WASHER,(FOR CANOPY) | 1001- |