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,ent by: GAMBRO 9498315035; 06/11 /2005 4:36AM; #686; Page 11 /24 <br /> • r e Page: ? of z <br /> ExpeTts in Infection Control and Ileolthcarg Comptiaj�te Service$ Gambro Health Care <br /> eti�8 Giehoaks Olvd, Suite Soo Laura Simpson <br /> Sun Valley CA 91362 115 Columbia <br /> Aliso Viejo CA 92656-1458 <br /> r-OR CUSTOMER I F'OR RICK-UP <br /> SERVICE INFORMATION INVOICE DATE INVOICE NUMBER <br /> CALL 800-993-9324 CALL CUSTOMER NUMBER TERMS <br /> i 8(3£3953-9324 06/30/2004 0002859940 <br /> 6018100 Net 30 Days <br /> NuM1R tXtY 3 1itCHT(! } <br /> Site: 002 Gambro Hoa l th Care` SCE UJM TOTAL <br /> 1156 S Mach st, Patient Servioes, Mantua: CA 95336.3208 <br /> WEIGWMAS7'ER CERTIFICATE:This is to certify that the tpllpwiry iy <br /> who is a r"09i xed authority of accuracy,as 0. ®aeriDad ccytpmpdily Was we£ hed,measgred or <br /> adminlgtered by the Division of Measurement Ptesltrib oft 8 apt6r 7(cor men nen it F oounted by a waighinaster,Whose <br /> s£gnature 15 On lhla chrtiflCate, <br /> 9 oodlan Alfifp):p£:pry;BtOn 5 of the Ca£itorrua I3ugloees antl PrDI08aione t',Call <br /> on <br /> *eeklo d%47rl0aititra <br /> Cumm0d11Y'Madicsl WaS20:Weighed at:Steficycle,Inc„4135 W Swift AV®,Frngnn.CA 93'722 <br /> 1 4 F O I � ff CE'. £r£y Welghmaster <br /> 06/0 /2D MOFR001OBI .00 44 Go Ute 10 12-.. lb <br /> 06/03/2004 MOFROO 1 DU5 1•OO R+airorcY Retention ion Fee 1 8. 0 470 L 8 .9 <br /> 06/03/2004 MOFROOIDUS 1.00 44 Gal Tub{810}„ CT 12.7 1b 0.00 5.250 EA <br /> 06/03/2004 1.00 ReCOrtt RetentiOn F 33.40 0.4'70 LB 5.25 <br /> MDFROOIDUS 1.00 MinimuM PiCk-up Fee 0"00 5.250 EA 15.70 <br /> 06/07/2004 MDFROOI€5C 3„00 44 Gel TU{Sio}, CT 12.7 lb 0.06 5.25 <br /> 06/07/2004 MOFROOIESC 1.00 R®cord Rbtentitln Fee '66.70 51.220 EA 51.22 <br /> 06/id/2004 MDFROOIEP�I 9.00 44 Gad Tubenti . -CT 12:7 lb 0.00 0.470 LS 78.35 <br /> 06/10I/2004 MbFR001EP1 1.00 Retard Retention Fie 5.250 1A 5 2$ <br /> 06/10/2004 MDFROOlEP1 91.40 0.470 LB 42.95 <br /> 06/14/2004 MOFR001FOD 1.00 Mini Pick-Up F 0:00 3.250 EA <br /> 06/14/2004 MtJFR001FOO 3.00 44 Gal Tut' 10}, CT 12.7 lb 0.00 23.960 EA 5.25 <br /> 06/17/2004 MDFROOIFIR 1.00 ReCdrd Retenttari F 1 '20 0.470 LB 23.96 <br /> 06/17/2004 MOFROOIFIR 3.00 44 Gal Ttdb{Sia}, CT I2:7 1!7 0.00 5.250 EA 93,62 <br /> 08/21/2004 MDFROOIFU9 1.00 Record Retention F 1$4.70 0.470 L8 3.25 <br /> 06/21/2004 MDFROOIFU9 2.00 44 Cal TUb{$Io}, CT 12.1 lb 0.00 5.250 EA 72.71 <br /> 06/21/20Oa MDFROOI'FU9 1.Uo R card Retention Fee rt 5:60 0.470 LB 3.25 <br /> 1.00 Mlnimuti Pick-wp F 0.00 5,250 EA(601 49.73 <br /> z 0-00 17.190 EA 15.25 <br /> 7. 19 <br /> . #�CF'!L18 61d 3� t3v8Ys ' <br /> 71052 808. <br /> 0.00 <br /> 0.00 0 00 <br /> thp-C . : INVOICE TOTAL: <br /> CONTINUED <br /> THANK YOU FOR KEEPING YOUR ACCOUNT CURRENT. <br /> / f <br /> :iINGHER, # 31217q <br /> "1 t - U 1 3 <br /> F CERTPFIGA'tION. THE MATERIAL i�STED ON THE MtAN _ <br /> WITH TIME REQl1IREAAEN76 FJF FEt?ERAL. STATg. AND ��'{81 Di"fAILE'b A {INI:ECTIOUS lu1ECNCAL WASTE} HAS KIWI=N 7A A'fED£!+} ACC ORpANCE <br /> CERT1FICaa7E,APP[iCA$GE MANiFE$T5,AVCS THE APP COALtERULAIIG}NR OCJUERN£Nt3 1�tE TREATMENT OF SUCM WA8►Ir. <br /> ^_ RCIf tATE LOGS WILL RE1NAl£V QFl F7£E WITH ThiE COMPANY. A COPY OF TH£$ <br /> '� R*essryra orsooaoae®i ocuao7os _ .. DETACH ATP <br /> .. _ _ _ _ _ _ ERFORAT£ON�AP3D FtETLIRN Spry' PORTlpN WITH �� .�... <br /> _ _ _ •. _ .. - <br />