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stryker <br />PURCHASE ORDER FORM <br />Does the Customer require a PO# on invoices for payment? I No Yes <br />If yes, do not use this form. <br />Check box confirming BILL TO and SHIP TO on quote is accurate. <br />Customer * - 20270424 <br />Company Name NORTH OLMSTED FIRE DEPT <br />Contact or Dept <br />W <br />Email <br />Stryker Quote # Grand Total Amount <br />11 301432 $137,C47,23 <br />Authorized Customer: <br />Printed Name: <br />Title: <br />. . ...... ---------- <br />Signature'. . . ............ —, . ...... <br />Date: <br />Check box if anything attached F-1 <br />*Sales or use taxes on domestic (USA) deliveries will be invoiced in addition to the price of the <br />goodsand services on the Stryker Quote.* <br />*Service Terms and Conditions: <br />The Terms and Conditions outlined in this quote, as well as any resulting Customer purchase order, are governed by <br />the Terms and Conditions specified in the Terms Addendum to ProCare Medical Quote attached hereto. However. <br />these Terms and Conditions do not apply if the Customer and Stryker are bound by a Master Service Agreement or <br />by a separate written agreement that governs the purchase or sale of goods and/or services <br />