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I <br /> I <br /> I <br /> I <br /> <br />I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> <br />* ]NVOICE* <br /> <br /> PLEASE PAY FROM THIS INVOICE <br />*********************************** <br /> <br />* MEDI-RENTS & SALES * <br />*Div. Medical Equipment Minnesota * <br />* 7117 WEST BROADWAY * <br />* BROOKLYN PARK, MN 55369 * <br />* (612) 566-1008 * <br />*********************************** <br /> <br />*INVOICE* <br /> <br />Bill to: <br /> <br />Richard Spicer, Atty <br />Midland Bank Building #1028 <br />410 2nd Ave So. <br />Minneapolis, MN 55404 <br /> <br /> copy <br />Delivered to: <br /> <br />Richard Buchite <br />19171 Tyler St <br />Elk River, MN 55332 <br /> <br />Disk code #282; File name: BUCHITRI; dt#811020; Initial:... <br /> <br />************************************************************ <br />Provider # M 12712 ME <br />Einployer: City of Ramsey, Minnesota <br />Prescribing physician: Dr. Charles Lei & Noran <br />Rental period: 11/20/81 thru 12/19/81 <br /> <br />E~ipment rented: <br />Fully electrical hospital bed with hand held <br />controls for head, knee and bed height and <br />manual emergency powerout by-pass; Orthopedic <br />Innerspring Mattress (gatch type) X.F. 35x80 <br />with staphcheck $154.50 <br />Full overhead traction/fracture frame rtl- <br />bar with ortho pull and chain $ 39.00 <br />Side rails for hospital bed $ 19.50 <br />Bucks Triple pulley pelvic traction $ 39.00 <br />Orthopedic Laminectomy Chair w 7/8"Elev arms $ 32.50 <br /> Current monthly rental total .... ~]~6 <br /> <br /> <br />