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PHYSIO- CONTROL, INC . <br /> TECHNICAL SERVICE SUPPORT AGREEMENT <br /> SCHEDULE A <br /> Contract Number : PB 12P869 <br /> Servicin `2 Rep : Dairen L worio . EAVV61 <br /> District : SOUTHEAST <br /> Phone : 800-442- 1142 x2741 <br /> FAX : 800- 772- 3340 <br /> Equipment Location : INDIAN RIVER COUNTY EMS , 02609701 <br /> 4225 43RD AVE <br /> VERO BEACH , FI. 32967 <br /> Scope Of Service On Site Repair and I On Site Inspection per Year : M -F/8 -5 <br /> Ref, Effective Expiration Total <br /> Model _ P;art Numher _ Serial Number Linc Date Date Inspections <br /> LIFEPAKC!9 12 VLPI2 -02 -07728 1735802. 1 17 1012812009 9/29/2012 2 <br /> LIFF- P.AK@ 12 VLI' 12 -02-007228 37358020 18 10/28/2009 9/29/2012 2 <br /> LIFEPAK(r) 12 VLP12-02 -007228 37359035 19 1028/20319 9/29/2012 2 <br /> Scope OI' Service POS On Site Repair and 1 Inspection per Year : M - F/8- 5 <br /> Ref . Effective Expiration Total <br /> Model Pan Numhcr Scnal Nuruhcr Linc Date Date Inspections <br /> LIFFPAK9 12 — � � VLP12 -03-007228159115154 1 9/30/2007 9/29/2012 5 <br /> L. IFE. I'AK@ 12 VLP12 -02 -007328 35905155 2 9/30/2007 9/29/2012 5 <br /> LIFEPAK0 12 VLP12 -02-007228 359051 S6 3 91302007 9/29/2012 S <br /> LIEE. PAK4-'�) 12 VLPI2 .02 .007228 A5905157 4 9/30/2007 9;W,O , 201 ? 5 <br /> L[ Ft- PA K6 IVLPI1 -02-007228 35905165 5 9/30/2007 9/2912012 5 <br /> LIPHPAK@ 12 VLPI2 -02 -007228 15905164 6 9/30/2007 9/29 `2012 5 <br /> LIF'FPAMy I2 VLPI2 - 02 - 007228 35905163 7 9/30/2007 9/2912012 > <br /> LIF'FPAK@ 12 VLP12- 02-007228 35905162 8 9/3012007 9/291'2012 5 <br /> LIFE. PAKOP 12 V012 - 02 -007228 3590,5161 9 9/30/2007 912W2012 S <br /> lAIHFPAK Ot 12 VLPI2 -02 -007228 35905160 10 '9/302007 9/291'2012 S <br /> LII' I-AIIAKff+j 12 VLPI2 -02 .007228 35905159 11 9/30/2007 9/29/ 2012 5 <br /> IAFFPAKQ� 1 :? VLP12 -02 - 007228 3590.5158 12 9130/2007 9/29/2012 5 <br /> LIFEPAKd I )_ VLP12 .02 - 007228 15901; 169 13 9/30/2007 9/29/2012 <br /> L11+ PAKtig I _" VLP12 - 02 - 007228 35905168 14 9/30/2007 9/29/2012 S <br /> LIEFPAK012 VLP12-02 - 007228 35905167 15 9/30/2007 9/39/2012 5 <br /> LIFEPAKr:112 VLP12 . 112 -007228 35905106 16 9x30°2007 9 - )012012 <br /> Scope Of- Service POS LPI 5 On Silc Repair and I fnsp per Ycar. M - F/8 - 5 <br /> Ref , Effective Expiration Total <br /> Model Pan Number Scrlal Number Line Date Datc Inspections <br /> LIFEPAK= 15 V15-2 - 000051 39153131 20 " 8x7 ',009 90"9/20l 'I 1 <br /> LIPEPWA, 15 VI 'S . 2 . 000051 1815A116 21 " 81312009 9,9,29/2012 i <br /> 1_ 3FEPAK < < = 17 VIS- 2 000051 39789984 22 " 7/ 11 /2011 9/29:13012 1 <br /> Reference NLIn1hcr : V63 - 1467 Addendum <br /> Printed : 11 / 10/2011 1are 4 cif 10 <br />