| Item | Part No. | Part Name | Qty | Serial No. |
| 1 | XA4003 | HEADREST | ||
| 1 | XA4009 | FRAME | ||
| 1 | VE8749 | COVER | ||
| 2 | VE4557 | ARMREST SET | ||
| 3 | VE8728 | KIT, ARMREST - R.H. | ||
| 4 | VE8727 | KIT, ARMREST - L.H. | ||
| 5 | XA4022 | BACKREST ASSEMBLY | ||
| 6 | VE8737 | FERRULE (1) | ||
| 7 | LA0335 | KIT, HARDWARE | ||
| 8 | XA4010 | FRAME | ||
| 9 | BF2756 | KIT, MECHANICAL LUMBAR | ||
| 10 | BF2807 | MECHANICAL LUMBAR - L.H. | ||
| 11 | VE8707 | CAPSCREW | ||
| 12 | BF2757 | KIT, KNOB | ||
| 13 | BF2754 | FOAM, BACKREST | ||
| 14 | XA4025 | COVER | ||
| 15 | XA4005 | SEAT PAN ASSEMBLY | ||
| 16 | XA0126 | PAN, SEAT (1) | ||
| 17 | BF0417 | FOAM, SEAT (1) | ||
| 18 | XA4012 | COVER (1) | ||
| 18 | BF0420 | KIT, CLIP | ||
| NS|22 | NOTE: (1) NOT SERVICED SEPARATELY. |