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1-800-299-2645
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FAX: 205-838-5990
CMI Job #
Customer
P.O. Box/ St. No.
City
State
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConn.DelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMass.MichiganMinnesotaMiss.MissouriMontanaNebraskaNevadaNew Hamp.New JerseyNew MexicoNew YorkN. CarolinaN. DakotaOhioOklahomaOregonPenn.R. IslandS. CarolinaS. DakotaTennesseeTexasUtahVermontVirginiaWashingtonWash., D.C.W. VirginiaWisconsinWyoming
Contact
Phone #
Fax Number
P.O.Number
Date Ordered
S.T.
Rush
O.T.
st
rush
OT
Ship Via
MFG
HP/KW
RPM
Frame
Volts
Amps
Model
Type
Phase
HZ
Temp Rise
S/N
SVC Factor
No. Slots
No. Bars
Span 1 &
# Turns
Wave or Lap
WaveLap
Right or Left Top Coil
Right CoilLap
Wire on Edge or Flat
Wire on EdgeFlat
Wire Type Glass/Film
GlassFilm
Orig Wire Size
x
Change Wire Size to
Arrange
wide x high
Wt. Per Coil
1. Core Diameter
2. Core Length
3. Core to Rear of Comm
4. Rear Coil Ext.
5. Riser Width
6. Front Coil Ext.
7. Finger Plates
8. Comm Length
9. Riser Diameter
10. Clearance
Riser Type Solid/Open
Skewed Slot YesNo
Skew Distance
RightLeft Choose Rt or Left
No. Equilizers
Equalizer Wire Size
Swedge Leads Yes/No
YesNo
Leads Tin or Bare
Slot Paper No/Yes
Remarks:
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