Customer______________________
Contact    ______________________
Address    ______________________
City &  State ____________________
Telephone _____________________
P.O. Number____________________

*Motor MFG.____________________
*H.P. _________ Frame___________
*RPM_________ Type____________
*Volts_________ Amps ___________
*Model   _______________________
*Design________ Code ___________
*S.F. __________ Rise ____________

DELIVERY INFORMATION
Coil delivery date req'd_____________
Overtime authorized      Yes        No
Ship via _______________________

Measurements taken on:
Insulated coil  ____  , or Uninsulated coil ____

1. Core bore (Diam.)  _______
2. Core length (A)   _______
3. Finger  width  _______
4. Large drop _______
5. Small drop _______
     *Back iron  _______
6. Top straight length _______
7. Bottom straight length _______
8. Front extension _______
9. Rear extension _______
10.Overall coil  length  _______

*Dip & Bake ___, VPI___, Sealed coil ___
*Lead location  11 ___ 12____ 13 ____
*Coil span:  1 & ___
*Jumper conn.  1-4 ___ or  1-7 ____
*Number of circuits and connection:
_____wye or
_____delta
*Throw direction:
   Wound C.T.                  14_________
    Wound opposite C.T.  15 _________
*Wire size _____
*Wire size _____
*Wires in hand  _____
*Number of turns ______
*Strand insul. (type & build) _____
*no. of slots ______
*Coil weight (pounds) _____
    Take dimensions 16 & 17 after coil  has been reset to original shape (in stator if possible)
16. Chord  (Q) _______
17. Table top length _____
18. Coil space (under wedge) _____
19. Slot depth (XG) _____
20. Slot width (XH) _____

SPECIAL FREATURES:       YES      NO
Slot liner in use                         
1/4 Twist inner lead                 
Terrace wound                         
Skewed slot                               
End bell clearance is tight         

The Hottest Thing in the Industry