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Analgesic Services, Inc. <br />Sacramento, CA 95865 <br />Phone 916-928-1068 <br />Bill To: <br />Rick Van Tran, DDS <br />1007 S. Main St <br />Manteca, CA 95337 <br />Ship To <br />Manteca Dental <br />1007 S. Main St <br />Manteca, CA 95337 <br />Invoice <br />Delivery Date <br />S.O. No. <br />10/16/2023 <br />41810 <br />Client Signature (Received By): <br />Delivered By: I %, <br />P.O. No. <br />Terms <br />Due Date <br />Net 30 <br />11/15/2023 <br />Item <br />Product <br />Lot Number <br />Ordered <br />Shipped <br />Returned <br />Rate per <br />Extended <br />02K <br />Oxygen K, USP, Size K <br />0 <br />0 <br />46.25 <br />N20H <br />Nitrous Oxide, USP, Size H (50 <br />0 <br />0 <br />222.00 <br />Ib) <br />02E <br />Oxygen, USP, Size E <br />0 <br />Q <br />S 7} <br />28.25 <br />Fuel Surc... <br />Fuel Surcharge <br />0 <br />0 <br />11.50 <br />Hazmat <br />Hazardous Materials Handling <br />0 <br />0 <br />11.50 <br />Delivery <br />Gas Delivery / Leak Check <br />0 <br />0 <br />25.00 <br />Ticket Re... <br />1 <br />0 <br />0.00 <br />*PICK UP 502E ONLY* 7 <br />'e 41 v, cd 5 b -11 UZ f S <br />0 <br />* <br />0 <br />Date Ordered: 10/9/23 <br />0 <br />POC: Anjelica <br />i <br />Hours: 8am - 5pm, NO LUNCH <br />LB <br />Sales <br />Tax: (8.2 <br />%) <br />$0.00 <br />Total <br />$0.00 J <br />Client Signature (Received By): <br />Delivered By: I %, <br />