I've seen those in use, but you probably need a relatively small and light spare by today's standard for it to work without calamity. I think the fender washers were to go behind the body panel in the door, not the hinge, since that's what the answer referred to. The one I saw mounted on the hinge itself didn't have a fender washer (you wouldn't need one I would think).
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2001 Ford E250 Sportsmobile with Salem-Kroger 4x4 conversion
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