The three handle attachments give : there are no one-handles or three-handles. Use the capped core disks of handles as the homology basis, ordered by the framing labels . The surgery linking matrix gives the intersection form. Orient the three components so that the outer components have linking number and the middle component has linking number with each outer component. There are six crossings between the outer components, and two crossings between the middle component and each outer component; counting their signs gives these linking numbers. Reversing a component changes the corresponding row and column signs and does not change the invariants.
Thus the intersection form is
An exact matrix congruence diagonalizes this intersection form to
Consequently its signature is , and .
The long exact sequence in relative homology and Poincare-Lefschetz duality identify
with the intersection form matrix, and identify with its cokernel, since . The Smith normal form has first invariant factor , because the entries have greatest common divisor , and second invariant factor , because the upper-left two-by-two matrix minor has determinant . The last invariant factor is . Hence
Use generators for the three one-handles in the generalized Heegaard diagram. Read a downward crossing of the cut from a left-hand hole to its right-hand partner as the corresponding generator. Traverse the attaching curve around the left-hand hole, starting at its outgoing downward strand, and then traverse the attaching curve around the left-hand hole in the same way. Their cut-crossing words are
These are the two relators imposed by the two handle attachments. The remaining boundary is a torus; no third relator should be added. The fundamental group presentation is therefore
The exponent-sum vectors are and . Thus the abelianization is , with all mapping to its positive generator .
Apply the Fox derivatives and then this abelianization. The resulting Alexander matrix is
For example, the three occurrences of in contribute to the first entry. Every row sums to zero, as the Fox calculus identity predicts.
The cellular boundary in degree one for the infinite cyclic cover is . Its kernel is freely generated by . Expressing the two relation boundaries in this basis gives the two-by-two matrix obtained by deleting column of . Its determinant is the order of the Alexander module of a space. Equivalently, all three maximal matrix minors of agree up to sign. The Alexander polynomial is
where allows multiplication by a unit in the Laurent polynomial ring. Its value at is .

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