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' ONESOURCELABORATORY <br />SERVICES <br />PerkinElmer' <br />For the Better <br />PerkinElmer Health Sciences, Inc. <br />710 Bridgeport Avenue <br />SHELTON CT 06484-4794 <br />USA <br />TEL: (800) 762-4000 FAX: (203) 944-4983 <br />Quotation Number <br />Quotation Date <br />40588139 <br />12/07/2016 <br />Your Prior Agreement <br />Quote Expiration Date <br />35409584 <br />03/18/2017 <br />Customer Contact <br />Your Prior PO Number <br />MICHELLE SMITH <br />227054 <br />Telephone Number <br />574-235-5994 <br />QUOTATION - SEE COVERAGE PLANS <br />Site Address: <br />MICHELLE SMITH <br />CITY OF SOUTH BEND <br />WASTEWATER TREATMENT PLANT <br />3113 RIVERSIDE DR <br />SOUTH BEND IN 46628 <br />USA <br />Site Number <br />100021642 <br />Fax Number <br />BELOW <br />Invoicing Address (if different) <br />CITY OF SOUTH BEND <br />ACCOUNTS PAYABLE <br />227 W JEFFERSON BLVD <br />SOUTH BEND IN 46601 <br />USA <br />Customer Number <br />4013875 <br />Payment Terms Coverage Period Billing Plan Page Number <br />Net 30 days 04/01/2017 to 03/31/2018 Yearly 2 of 4 <br />Line Quantity Model Description Net Price <br />Gross Price 14,460.00 <br />Percentage Discount 5.00- % 723.00- <br />Nel Price 13,737.00 <br />Note: taxes will be applied to your invoice if applicable <br />