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PHYSIC Physio-Control, Inc ® Product Billing <br /> III <br /> Page: 2 <br /> INVOICE <br /> CONTROL- ,404 m fnia uS MeN to l s a LdvsO only <br /> Formerly Medtronic ERS 1000 Col d0. C4nt4r 0000 i I 112051871 I <br /> 11811 Willows Road NE I , <br /> Cldcalioil IE608!93 <br /> Post office Box 97008 '> PIae44 refe14nc41nvoa4 1%000r on ypyr 0.iL k 10/07/11 <br /> Redmond.WA 98073-9708 USA *-40.1 Ies Calf.MOM[ree 1400.428$041 <br /> Telephone:425-887-4000 E.' .._.. ._........... .-... ..........................v..--.. ,... <br /> Fax:425-881-2405 <br /> F.E.I.N.91-0697891 <br /> BILL TO ACCOUNT: 11961202 SHIP TO ACCOUNT: 21238501 Sold To: 11961202 <br /> CITY OF PLEASANTON LIVERMORE PLEASANTON FD <br /> PO BOX 520 3560 NEVADA ST <br /> PLEASANTON, CA 94566 PLEASANTON, CA 94566 <br /> UNITED STATES UNITED STATES <br /> Reap return top portion with payment. <br /> 1 DATE SNIPPED PURCHASE ORDER NUMBER SALES/SERVICE REPRESENTATIVE P.:.j w...•..u..,y,(,.k...L,....,4 :>,",7:„,ixtt y7 <br /> 10/07/11iMOORHEAD CWBBP4 WENN67. watsom31 <br /> CARRIER CARRIER TRACKING NUMBER SALES ORDER i PAYMENT TERMS <br /> GRD 0379020225 CNT 7 53117872-00 Net 30 Days <br /> I L/C: 1111 Expires: 03/14/16 9 <br /> 1 <br /> 8 11577-000002 KIT: - CARRY BAG,MAIN BAG 3 EA 3 - 0 260.00 562:6.0 ,I''' <br /> Discount 72.50-: <br /> 9 .11577-000001IKITp - CARRY BAG; SHOULDER i 3 EA 3 ','0 0.00 .: 0.00 T;:7•,STRAP • <br /> i Jf{ <br /> 20 11220-00:0028 rop Pouch; ': .3 EA - 3 0 :14:7:40;:-,: : 1x3 .50 T : <br /> I Discount 22.50) <br /> 11 , 11260-006039 IT - CARRY BAG, REAR .. "' .3 EA 3 : ' 0 67.00 146.25 T' <br /> i POUCH Discount 18.25- <br /> 12j11140-000072 C TOI DC' POWER ADAPTER, '2 EA 2 0 132.5.00 2092.50 T;' <br /> P15 Discount 348.75- <br /> L/C: 101005 2 <br /> 'Contact: J MOORHEAD <br /> IPhone: 925 54 2302 <br /> Sub Total 79701.75 <br /> Freight and Handling 185.00 <br /> Taxes 6990.10 <br /> PER HCPO AND QU 1<197216207'..5' <br /> f <br /> I <br /> .1 <br /> *** CONTINUED *** <br /> VISA <br /> e,asn=:Cam <br /> xrees —' <br /> ACCEPTED <br /> DOTE:TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN. <br />