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For the factory configuration you may also need a tachometer mounting plate and different cluster housing(?).
I have done a tach conversion on my '66 Impala and it's not complicated if you have basic electronic skills. I believe you have everything, but I would seriously look at the cluster wiring diagram for your truck and the tach vehicle year model. The problem that you might is that there may not be a tach wiring for your truck and you may have to wire it like an after-market tach ie.. straight to the battery pos. and neg and distributor.
If memory serves, the tach cluster housing is opened up behind the tach. That "plastic, odd shaped doo-hickie" as you refer to it fills the hole and seals the cluster.
Probably. And the screw bosses already exist in the majority of housings to mount the tach plate.