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ror bming ana Payment <br />Inquiries call: <br />(209) 521-2330 <br />BIOMEDICAL SERVICES WEn -4700 Northgate Blvd, Suite 105 Sacramento, CA 95834 (916) 922-6753 or <br />-800-638-9909 <br />194045_] <br />DATE <br />1-- b <br />PROPERTY TAG N MFG./MODEL jDESCMP11(-,N SERIAL 11 <br />—1p �S' <br />PROBLEM <br />op <br />PAe As v 4- z -#it. <br />17— <br />11 <br />-1111 P111FOPKIlD <br />§oWh West= - 2212,,1, Yandell Sulte H <br />• El Paso, Texas 79903 <br />(916) 545-1103 <br />1 <br />DISTRIBUTION CODE <br />SERVICE REPORT <br />12gtb Eastern - 1125 Newton Street <br />Gretna, LA 70053 (504) <br />361-3814 or <br />I <br />1-800-824-6713 <br />®tiL TO <br />ACCOUNT # <br />SERVICE <br />DESCRIPTION <br />TYPE <br />?- <br />] <br />CIO,, <br />ATTN <br />I? <br />7-1C <br />PURCHASE <br />ORDER 4 <br />PHONE •i <br />NAME le—Ir 007, <br />-SSC// <br />5 <br />CONTRACT <br />♦ <br />HOSPITAL <br />ROOM <br />STREEI <br />I D. <br />DEPT <br />SERVICE <br />Z0401% <br />REQUEST F 1) <br />BY <br />C'1Y STATE <br />ZIP <br />PROPERTY TAG N MFG./MODEL jDESCMP11(-,N SERIAL 11 <br />—1p �S' <br />PROBLEM <br />op <br />PAe As v 4- z -#it. <br />17— <br />11 <br />-1111 P111FOPKIlD <br />It <br />COMMENTS: <br />