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r <br /> ;ent by: GAMBRO 9498315035; 06/11 /2005 4:40AM; #686; Page 22/24 <br /> PAGE: 2+7f_Z_._, <br /> 13975 POIO Trait t)r, Suits 201 i INVOICE DATE 07/31/2004 <br /> 046 ericyCle`' Lake Forest, 1!_ 60045 iiVYOtCi�"Nu �t7 0002894776 .� <br /> CUSTOMER NUMBER 5018100 <br /> Ek In 1nMtul Con&ol and Neo r Comolono®SsitVFeYa <br /> i INVOICE AMOUNT DUE � <br /> x BY 08130/2004 51,008.52 i <br /> rE poll CUSTOMER SfAVICE CUF2IZEEVT $1,008.52 �. <br /> GAMBRO HEALTH CARE eeo�STERI-CALL YS $0.00 <br /> LAURA SIMPSON 868J83-1422 � 1-30 DAYS $0.00 <br /> 115 COLUMBIA INFORMATION <br /> ! 31-f30 DBAY <br /> ALISO VIEJO. CA 92556-1458 WO- ED-W STE i 61-00 DAYS S0 00 <br /> ra OVER90 <br /> :: 80033-8278 _.. „ u.• <br /> 31111-LJ747 I AYOVY69P003771 <br /> a� <br /> MAnrftE8T1 QUANT1TYl WictGKT PRICE TOTAL <br /> DATE ORDER NUMBER CONTAINERS ouocRfp"ON <br /> 07t22JZ)0.4 M0FR001JNX 1.00 Recwd Ralantbn Fee 0.00 LH $5,250 EA <br /> 07122/2004 MC)FRWIJNX 3.00 44 Gal TU Bic).CT 12,7 lb 176.20 LB $0.470 IM 582,81 <br /> `170W2004 MDFR001JZ5 1.00 ReowdRetentbnFoe 0.00 Lit $5.250 EA $5.25 <br /> 07r2W004 MDFR001JZI3 1.00 tVloliMum P-rk-up Fee 0.00 Lb $22.130 EA $%2.13 <br /> X712812004 MDFR001JZE3 t 00 44 Gat Tub(Bin),CT 12.7 Ib 95.30 LB $0.470 LH $44.79 <br /> "1712912004 MoFR001K1V 1.00 Reaad Retbnik)n Fee 0.00 LB $5.250 EA $5.25 <br /> �)'712W2004 MDFRO01K1V 3.00 44 Gol Tub(Bio),GT 12:7 lb 116.20 I B $0.470 TA4 $92.81 <br /> Sita oo2 SUB TOrAL $990.16 <br /> Sive 001:Ir"TOTAL $18.36 <br /> Sift o02 TOTAL $1.008.52 <br /> ItiVOICE AAfoUNT' UE BY 0813012004 <br /> AW <br /> $� a OQ8.52 <br /> 0 <br /> s <br /> 31111. 742'1AYOVY69P003774 vA tANlWP4A.6 t itEBpRA HR <br />