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Invacare Bolt-On Padded Back Upholstery, Flat, Black Nylon, 18 x 15-17 Inch
ITEM #: 1127482
HCPCS Code:  E0982
Latex Free. Screws Provided. Hole Spacing From Top to Bottom - 1 Inch, 5-3/8 Inch, 5 Inch, 3-5/8 Inch, 2 Inch.