Agenda - Council - 10/26/1982 - Laserfiche WebLink

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I I I I I I I I I I I I *INVOICE* PLEASE PAY FROM THIS INVOICE *********************************** * MEDI-RENTS & SALES * *Div. Medical Equipment Minnesota * * 7117 WEST BROADWAY * * BROOKLYN PARK, MN 55369 * * (612) 566-1008 * *********************************** *INVOICE* Bill to: Richard Spicer, Atty Midland Bank Building #1028 410 2nd Ave So. Minneapolis, MN 55404 copy Delivered to: Richard Buchite 19171 Tyler St Elk River, MN 55332 Disk code #282; File name: BUCHITRI; dt#811020; Initial:... ************************************************************ Provider # M 12712 ME Employer: City of Ramsey, Minnesota Prescribing physician: Dr. Charles Lei & Noran Rental period: 10/20/81 thru 11/19/81 Equipment rented: Fully electrical hospital bed with hand held controls for head, knee and bed height and manual emergency powerout by-pass; Orthopedic Innerspring Mattress (gatch type) X.F. 35x80 with staphcheck $154.50 Full overhead traction/fracture frame tri- bar with ortho pull and chain $ 39.00 Side rails for hospital bed $ 19.50 Bucks Triple pulley pelvic traction $ 39.00 Orthopedic Laminectomy Chair w 7/8"Elev arms $ 32.50 Current monthly rental total .... Transportation charges (including delivery and pickup), setup of equipment and inst. 2 men/truck $ 78.00 total amount due at this time ....... ~[~6 RENTAL INFORMATION Five state area delivery. Emergency service 24 hours a c~,ay ~-;ubject to after hours charge. Minimum rental period is mop,th unless otherwise stated. Rates are subject to %-~eekly proration after the first month. Payments for rentals due at the beginning of each rental period. An bas been established for renting only, and not of sale. R~-~.ntal items may be purchased - one month of paid ~r~y be applied to the purchase price. One-half rf~.nth's c(;ntal free when three months rental is paid in P~ices are subject to change without notice - items :~.~rvice subject to availability THE PATIENT HAS ASSIGNED PAYMENTS DI2ECTLY TO THE VENOOR.