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' ONESOURCE LABORATORY <br />SERVICES <br />Per JnElmero <br />For the Better <br />PerMnElmer 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 />12107/2016 <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 />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 />Site Number Customer Number <br />100021642 4013875 <br />Payment Terms Coverage Period Billing Plan Page Number <br />Net 30 days 04/0112017 to 03/31/2018 Yearly 3 of 4 <br />Billing Plan <br />Planm Invoice Invoice Aount(S) <br />da e(s)Customers can also elect to pay either monthly, quarterly, or semi-annually <br />04/01/2017 13,737.00 over the entire coverage period, however an administrative <br />surcharge will be applied to each invoice. <br />Total billed 13,737.00 <br />PerkinElmer Contact information <br />Quoted by: <br />SARAH ENOS <br />Telephone: <br />615-523-5403 <br />Fax Number: <br />203-944-4983 <br />Email: <br />sarah.enos@perkinelmer.com <br />Zone: <br />Zonal <br />Region: <br />Midwest North Swx <br />Location: <br />USIN02 <br />