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gent by: GAMBRO 9498315035; 06/11 /2005 4:36AM; #686; Page 9/24 <br /> r o Page;: 1 of z <br /> Experte in'Infection Control and xealthckre Compliance Services Gambro Health Care <br /> Laura Simpson <br /> 9188 Gtenoiaks Blvd,Suits 3o0 "� w 115 Columbia <br /> Sun Valley Ga913Sa Aliso VieJo CA 92656-145$ <br /> FOR CUSTOMER FOR PICK-UP INVOICE DATE INVOICE NUMBER CUSTOM <br /> SR NUMBER TERMS <br /> SERVICE INFORMATION <br /> CAVI 80U-863-9324 CALL 800.953-5324 n <br /> Net 30 Rays <br /> DATEM <br /> k11at8R t T iI e6S <br /> Pt 7 L rf OTAI. <br /> Site: 002 Gamtwc1 Health Care <br /> 1136 S Main St, PatlOnt Service$. Manteca, CA 95336-3208 <br /> -ho is <br /> recogn ed au horn E;•Phis is to certify that the following Wsciibgd comrnvdily wog weigfhgd,mmaxtrred or t ptynta0 by a w®igl+mesier,whose t tgnaturee is on this certNicote, <br /> wla0 is S recognized&ttihorlly dl mCGUraGy,ea prescribed by Chdptsr 7(Commencing With Section 1270om'Ot:t"d or Sof the California(rnaste', and a 0§188 UtR is <br /> n t <br /> ad"inisiare'd by the Division of f41easurernant$landard9'of the:CeFI§de'riia l pt+rltaPenl n§pOOd bnd Agriculture. <br /> 04. <br /> Commodity:MWIcal Wmete;Weighed ar:Stericycie,Inc..4135VV 3witt Avg.Fresno,CA 92722 Tar:..y Sham Deptlty 7 eiohmaster <br /> 05 20 4 1 3. 44 Got ub ib 7 <br /> 05/03/2004 MDFRaQ19TI 5.00 Record Retantitar, F 21f,7 0.4T .50 <br /> a5/as/2a04 MaFRa0lAaz z.oQ 44 Gr l Tut148tio Cr t2.7-lb 0.00 5.2~50 EA 5.25 <br /> 05/06/2004 MDFF20R1A82 5.00 Record Retention F 3$0.8D 0.470 LB 70.88 <br /> 05/10/2004 MOFROOtARO 4.00 44 Gal Tub(8io), CT 12.7 lb 0.60 5.250 EA 5.23 <br /> 0®5/10/2004 MDFROa1ARO 1.00" Record Retention Fee 307't3Q 0.470 LB 144.57 <br /> 05/13/2004 MOFR00188C 4,00 44'Gal Tub(Sio), CT 12.7 lb 00 5.250 EA <br /> $.'0.aQ 0.470 L8 g5.25y <br /> 05/13/2004 MOFR00i58C 1.00 Record Retention F <br /> 05/17/2004 MOFR001BMG 4.00 44 Gal Tub(Sio), CT 12.7 ib230.00 0.470 LB 117.78 <br /> 000 5.250 EA 5.25 <br /> 05/17/2004 MDFROOI8MG 1.00 Record Retention F <br /> 05/20/2004 MDFROOIC49 3.00 44 Gal Tub(8io). CT 12.7 lb 207.90 000 <br /> 5 250 EA 5.25 <br /> 05/20/2004 MOFROOIC49 1.00 Record Retention F 0.470 LB 97.71 <br /> 05/24/2004 MOFR001CG8 3.00 44 Gel Tub(Sio), CT 12.7 lb 146.70 5.250 to 5.,25 <br /> 05/24/2004 MOFR001CG9 1.00 Record Retention F 0.470 LB 68,95 <br /> 05/27/2004 MDFI7005CZe 3.00 44 Gal Tub(Bit4), CT 12.7 lb 1d70,00 5.250 EA 5.25 <br /> 05/27/2004 MOFR001CZQ . 1.00 Record Retention F 0,470 ELS <br /> A 66.60 <br /> 05/27/2004 MOPR001CZQ 1.00 Minimum pick-up F 0.00 '3.250 EA 5.25 <br /> 0.00 0.320 EA 0.32 <br /> a� a Qo Q.o0 0.00 Q 00 <br /> ._; INVOICE TOTAL: CONTINUED <br /> Due to rising fuel costs. your invoice ma ref ra »asrgy {:barge. <br /> OUCHER w <br /> AILED ASO <br /> MtTH Tl fE REQIJIAEMENTS OF PEDEgAL,T5TA7 AN©LCfCAL RE(3U QN$ C OVeI�TVING THE T1 EATMENT SUCH ASA-Ell IN ACCORDANCE <br /> CEKZ CIFICATE,APPLICAHLE MANIFESTS,ANL3 ThtE APpf�4P tA7E LOPS WILL:REMAIN ON PILE WITH THE COMPANY. A COPY OF THIS <br /> p' yre pr qrw ovaoaoae 1 ona..me _ DETACH AT PERFORATION AND RETURN BOTTOM?f0Ft hpN WITH`lUt;1R PAYMENT <br /> � Ill <br /> _ - - „ - - - - - - _ - _ - - _ <br /> .. ,�,.a., rar+urvrcuv.�rcta„'udrtld6LlW�'dNtWJU}F.' Nt�'kYFltik'617,drrYMiNrY `3' �' ;3' `: ,, iFIN7�iti i', , , ;i�.W ) ,)„,ig�ip it 01,6+�1"m;70s <br />