2014-537 EMS - Physio Control for Technical Support Agreement $16,688

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PHYSIO-CONTROL, INC. TECHNICAL SERVICE SUPPORT AGREEMENT SCHEDULE A Contract Number: Servicing Rep: Lane Rushing,EAAA60 District: MID-ATLANTIC Phone: FAX: 800-772-3340 Equipment Location: ORANGE CTY EMERGENCY MEDICAL,00300503 SERVICES 510 MEADOWLAND DR HILLSBOROUGH,NC 27278 Scope Of Service On Site Preventative Maintenance Ref. Effective Expiration Total Model Part Number Serial Number Line Date Date Inspections LIFEPAK®1000 320371500021 37275549 1 7/1/2014 6/30/2015 1 Scope Of Service On Site Preventative Maintenance w Lithium Battery Ref. Effective Expiration Total Model Part Number Serial Number Line Date Date Inspections LIFEPAK®500 3011790-000113 13161556 7 7/1/2014 6/30/2015 1 LIFEPAK®500 3011790-000113 13161557 8 7/1/2014 6/30/2015 1 LIFEPAK®500 3011790-000113 13161565 9 7/1/2014 6/30/2015 1 LIFEPAK®500 3011790-000113 13161566 10 7/1/2014 6/30/2015 1 LIFEPAK®500 3011790-000127 13326803 13 7/1/2014 6/30/2015 1 LIFEPAK®500 3011790-000113 13993444 14 7/1/2014 6/30/2015 1 LIFEPAK®500 3011790-001129 33125844 18 7/1/2014 6/30/2015 1 LIFEPAK®500 3011790-001129 33127344 25 7/1/2014 6/30/2015 1 LIFEPAK®500 3011790-001129 33127345 26 7/1/2014 6/30/2015 1 LIFEPAK®500 3011790-001129 33127346 27 7/1/2014 6/30/2015 1 LIFEPAK®500 3011790-001129 33127347 28 7/1/2014 6/30/2015 1 LIFEPAK®500 3011790-001129 33127349 29 7/1/2014 6/30/2015 1 LIFEPAK®500 3011790-001129 33127350 30 7/1/2014 6/30/2015 1 LIFEPAK®500 3011790-001129 33127351 31 7/1/2014 6/30/2015 1 LIFEPAK9 500 3011790-001129 33127352 32 7/l/2014 6/30/2015 1 LIFEPAK®500 3011790-001129 33125847 20 7/1/2014 6/30/2015 1 LIFEPAK®500 3011790-001129 33125848 21 7/1/2014 6/30/2015 1 LIFEPAK®500 3011790-001129 33127342 23 7/1/2014 6/30/2015 1 LIFEPAK®500 3011790-001502 34595096 36 7/1/2014 6/30/2015 1 LIFEPAK®500 3011790-001129 30811669 38 7/1/2014 6/30/2015 1 Reference Number: A60-3262 Renewal Printed: 8/4/2014 Page 4 of 9