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DocuSign Envelope ID: BA4A68D9-A6AC-48D0-A9C1-D50BFBB7B826 <br /> Scope Of Service On Site Preventative Maintenance w Lithium Battery <br /> Ref. Effective Expiration Total <br /> Model Part Number Serial Number Line Date Date Inspections <br /> LIFLPAK®500 3011790-001502 34101784 10 7/1/2015 6/30/2016 1 <br /> LIFLPAK®500 3011790-001129 32690608 15 7/1/2015 6/30/2016 1 <br /> LIFLPAK®500 3011790-001129 32690609 16 7/1/2015 6/30/2016 1 <br /> LIFLPAK®500 3011790-001129 33127352 22 7/1/2015 6/30/2016 1 <br /> LIFLPAK®500 3011790-001129 33127347 23 7/1/2015 6/30/2016 1 <br /> Equipment Location: ORANGE RURAL FD, 14376401 <br /> 206 S CHATALON ST <br /> HILLSBOROUGH,NC 27278 <br /> Scope Of Service On Site Preventative Maintenance w Lithium Battery <br /> Ref. Effective Expiration Total <br /> Model Part Number Serial Number Line Date Date Inspections <br /> LIFLPAK®500 3011790-001129 32779691 17 7/1/2015 6/30/2016 1 <br /> LIFLPAK®500 3011790-000113 13216812 5 7/1/2015 6/30/2016 1 <br /> Equipment Location: CARRBORO FD, 16148501 <br /> 301 W MAIN ST <br /> CARRBORO,NC 27510 <br /> Scope Of Service On Site Preventative Maintenance <br /> Ref. Effective Expiration Total <br /> Model Part Number Serial Number Line Date Date Inspections <br /> LIFLPAK 91000 320371500023 34692730 4 7/1/2015 6/30/2016 1 <br /> LIFLPAK 91000 320371500245 42051822 38 7/1/2015 6/30/2016 1 <br /> LIFLPAK 91000 320371500569 42918149 39 7/1/2015 6/30/2016 1 <br /> Equipment Location: CARRBORO FD, 16148501 <br /> 301 W MAIN ST <br /> CARRBORO,NC 27510 <br /> Scope Of Service On Site Preventative Maintenance w Lithium Battery <br /> Ref. Effective Expiration Total <br /> Model Part Number Serial Number Line Date Date Inspections <br /> LIFLPAK®500 3011790-001129 33125846 40 7/1/2015 6/30/2016 1 <br /> LIFLPAK®500 3011790-001129 33127346 41 7/1/2015 6/30/2016 1 <br /> LIFLPAK®500 3011790-001569 35201273 42 7/1/2015 6/30/2016 1 <br /> Equipment Location: CARRBORO FD, 16148501 <br /> 301 W MAIN ST <br /> CARRBORO,NC 27510 <br /> Scope Of Service On Site Preventative Maintenance w Lithium Battery <br /> Ref. Effective Expiration Total <br /> Model Part Number Serial Number Line Date Date Inspections <br /> Reference Number: SC-1581 Renewal <br /> Printed: 6/9/2015 Page 5 of 9 <br />