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

Home

I I I I I I I I I '1 I '1 I '1 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 * * i ~VOICE 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 E,~ployer: City of Ramsey, Minnesota Prescribing physician: Dr. Charles Lei & Moran Rental period: 02/20/82 thru 03/19/82 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 $164.50 Full overhead traction/fracture frame tri- bar with ortho pull and chain $ 45.00 Side rails for hospital bed $ 23.50 Bucks Triple pulley pelvic traction $ 45.00 Orthopedic Laminectomy Chair w 7/8'~Elev arms $ 36.50 Current monthly rental total .... ~i~[~6 RENTAL INFORMATION Five state area delivery. Emergency service 24 hours a day ~;t~bject to after hours charge. Minimum rental period is one month unless otherwise stated. Rates are subject to %.;eekly proration after the first month. Payments for renfa].s are ~]ue at the beginning of each rental period. An ag'ferment },.'~s been established for renting only, and not of sale. llt.ntal items may be purchased - one month of paid re~]tal m;,.y be applied to the purchase price. One-half ~tion'Lh's r¢~]tal free when three months rental is paid i.a a~.vance. Prices are subject to change without notice - itei~s and ~;~2~.-vice subject to availability T;iE PATIENT HAS ASSIGNED PAYMENTS DIRECTLY TO THE V}~..~!i)OR.