Laserfiche WebLink
'1 <br /> <br />I <br />I <br />I <br />I <br />I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> ..D ..? ~-t <br /> <br />*INVOICE* <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 />Employer: City of Ramsey, Minnesota <br />Prescribing physician: Dr. Charles Lai & Noran <br />Rental period: 12/20/81 thru 01/19/82 <br /> <br />Equipment 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 <br />Full overhead traction/fracture frame tri- <br />bar with ortho pull and chain <br />Side rails for hospital bed <br />Bucks Triple pulley pelvic traction <br />Orthopedic Laminectomy Chair w 7/8"Elev arms <br /> <br />Current monthly rental total <br /> <br />$154.50 <br /> <br />$ 39.00 <br />$ 19.50 <br />$ 39.00 <br />$ 32.50 <br /> <br />$288.00 <br /> <br /> <br />