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06/13/2005 18:05 NO°803 PO4 <br />Sent by: GAMBRO 14118315035; 06/11/210 <br />6/11/2 4:23AM; #1685; Page 2025 <br />1 <br />�, ®� Ster,c c'le Ir1C. <br />NIPS#I�riC�►rt!!� P.O. MK Aga;®T f " _ pay: _T or <br />0 Z 8&M2 <br />' 45 INVOWE HATr q� <br />r'xp.rt4 q lre t+G a ued ihwNoo�r. a INVOICs MU LIR VA7; <br />CUSTOAMMNUML91R 081 <br />u+ 0A05R0 Hi:ALTH CARE..FCR CUMAAR PREVIOUS SALANCE.- <br />8HARON MILL Pt K1trFiCs' TOTAL. At3du5TN1ENs :2,399.15 <br />ru ru 15263 SAKE P RKWAy Er?I�cA6i •TOTAL. NM CHARGES "$2,399.15 <br />IRVINE`, CA 92618-2502 s�aeo.7a :9,615.$9 <br />Pak PICOWPINpoitilknoN MAL BALANCE ®UIE <br />' sti�w�srrr BY'0�/301,005 <br />j • .; .' ... • ; �ti-8:15.6278 ' <br />p•�� ICA Q: :.. .. e-^••��•® ,_..— ®�..—..� _ _ _:�v' <br />. me�wttp 1r r r � Oa CeFflty.9aploloc ® tYe 31 t 11 uy42'1lKOX4Yd3X g8° b�:;;� t <br />�kNrrtlet Bw&um® m�I Profe3eionstr Co��;�pd,�,lM;sp ��y, as per' Ry CecO T t6�, Wad: � opurg a Mro g�s�, ,w,pps® s <br />trY Uee DM�lon eFAle � wmn 9eclien 427QQ) of QA�ron 6 of !tib <br />ht $tatas nt'4ib CnkFemia Qopm/�M Of FQaO artd AGr�waeus. <br />MAY .y.� <br />CERTIFrCATIUNt vna �s�l use 1)a tAa . <br />repu)q �e mrd"g'he rq Qi.u�h, ` QdJ deice IOw rmw, .. <br />PY iEeb C Ib, .*'►sI '*e n raa in accor,�0m wnh Lt>B r <br />4AT8 MANlFew, WUwtAttM (f10 ntsn8b8Is,. 17e0 approprlet6 w�,rtgnt4 of 1, 9g7o, dtrd kcal <br />ogOQR Nu41881� C boo Weal re in an Ale with ft Corr$hlthr <br />vNTAM/KRb D26CRAaT�M ' <br />PREWOUS 13MANCEwrimm r4ticg <br />AD4UETiI TVYat. <br />of/Oe12006 <br />06Ay�7N.�Og pm 5 2 r� 4 9. 2� <br />Y+fw�[. '$2x399.35 <br />pd' • 1o4. 76 <br />°�i,294,30 <br />;1' Je ,eF/Nllitta MkVdfS AiC'A l <br />NtW CWAkQ*V8 <br />�6ei7OF: 4aeg6roiraly�5p. 00 <br />cw% s7w AI Qrlmoml. 4. v0drrt"; <br />d4IOelmw r IlliMO COMES3 in snr�eYd+. Inc, 13M 141 Dr G, $ l fi 15.3 3 <br />oArOtl2oQS� a <br />.00 30R CA 0,1177,'• per, <br />tmraeer <br />t>4rolrzoos kADIRCOp3E33 1.00 �leeard 0.00 1,8 aFy 34.000 !� <br />04106 3.00 sdoi1T' 10.01).19 $4 00 <br />��9091=OIo a ,1)o t�IB+OJCY27.2 L,� S5.25o � <br />10/105 EJDRC003FOA f=ne O CPO* ... 90.00 LR $0,470 18 $6.25 <br />1.60 Rb�01!Fhb o:00 Ls 9123.Dl I <br />4aip kiDFtC0p9F� 4.00 84 .000 u, <br />80"TuNS OT272LO ' 0.90 LB $4.00 <br />04m' M[lit0003FFE .55,250 FA 06,21 <br />%im M5Q0000FFE 1.00 •372.00 la 80.470 iR <br />1.00 f{oaq@' h� 0,00 L's$as7.7E <br />oqlivmstNDRC003FFE $4.000 FA 6a, 00 <br />G4/1705 MORC003F07 4100 Tt�Ik3ioJCT Zy,2 Lp3 0.00 I8 ops. 250 $A <br />7.00iLs <br />369.'0 05.25 <br />MOI�:pp3EQ7 1,00 +�C So:870 � 6170,00 <br />R6 <br />Feb 8x.00 Le $4.040 SA <br />PLE46C DETACH AtdQ55.250 m <br />So p0"jON,WITW VOUA PAYMENT IN T146 ENCLQg D ba . 04 <br />19ETVRN $5°2s <br />= ENVELOPE <br />