2026-02-17 MIL Instruments Serviced.pdf
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- Solicitation number
- 36C25226Q0075
About this file
This is a packing slip from STERIS Instrument Management Services, Inc. documenting the return of surgical instruments from Clement J. Zablocki VA Medical Center in Milwaukee, Wisconsin following on-location maintenance and repair services. The order was placed on February 17, 2026, with Order Number 4394048 and Service Request Number VOI765816. The document lists nine surgical instrument sets that underwent various levels of maintenance, including inspection, ultrasonic cleaning, rinsing, drying, lubrication, sharpening, alignment, and specialized adjustments as needed.
The instrument sets include coronary instruments, hemorrhoidectomy instruments, a repair bin, EVAR set, hand and foot set, bring back heart set, total orthopedic instruments, tracheostomy instruments, and minor surgery instruments. All services are billed at $0.00, with a subtotal of $0.00, as indicated on the packing slip. The document notes that an invoice will follow separately and that applicable taxes and shipping/handling charges will be added to the final bill. The packing slip includes a disclaimer regarding any recalled items, stating that STERIS did not take recall-related actions during the repair process and directs the customer to follow guidance from the recalling firm.
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Packing Slip Order Number: 4394048 Service Request Number: VOI765816
STERIS Instrument Management Services, INC.
3316 2nd Ave North Birmingham, AL 35222 800-783-9251 www.steris-ims.com
Date Printed: 2/17/2026 Page 1 of 5
Customer
CLEMENT J ZABLOCKI - VA MEDICAL CENTER
5000 WEST NATIONAL AVENUE
MILWAUKEE, WI 53295
Deliver To
Purchase Order Department Operating Room
Last Ship Date
17-FEB-2026
Reference
Sales Person Fabitz, Eric E
Customer Contact Sandra Arntzen
Contact Phone Number 414-384-2000
Customer Number
Special Instructions
Notes :
Line Description Qty Unit Price Ext Price
1 SN:C10002396 ON-LOCATION INSTRUMENT SERVICE (Mil Coronary Instruments - 002)
1 $0.00 $0.00
ONS755 - Diamond Dusting (Needle Holder) 4 $0.00 $0.00 ONL2381 - Forceps: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 3 $0.00 $0.00 ONL2382 - Forceps: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust 2 $0.00 $0.00
ONL4103 - Micro Scissors: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips
5 $0.00 $0.00
ONL2781 - Retractors-Self Retaining: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry
2 $0.00 $0.00
ONL2141 - Clamp-Bulldog: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 2 $0.00 $0.00 ONL3151 - Needle Holder-Castro: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 7 $0.00 $0.00 ONL2962 - Probe: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust 5 $0.00 $0.00
Item Total USD $0.00
2 SN:C10000765 ON-LOCATION INSTRUMENT SERVICE (MIL Hemorrhoidectomy - 002)
1 $0.00 $0.00
ONL2121 - Clamps: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate 18 $0.00 $0.00
ONL2223 - Curettes: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Sharpen, Reshape Edge
1 $0.00 $0.00
ONL2381 - Forceps: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 10 $0.00 $0.00
ONL1103 - General Scissors: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips, Adjust Shank
3 $0.00 $0.00
ONL2521 - Knife-Handles: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 2 $0.00 $0.00
ONL3101 - Needleholder: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate
4 $0.00 $0.00
ONL2731 - Retractors-Handheld: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 6 $0.00 $0.00
ONL2781 - Retractors-Self Retaining: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry
1 $0.00 $0.00
ONL2771 - Retractors-D/E: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 2 $0.00 $0.00
ONL2911 - Suction Tubes/Tips: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate
1 $0.00 $0.00
ONL1303 - TC Scissors: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips, Adjust Shank
1 $0.00 $0.00
ONL2961 - Probe: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 3 $0.00 $0.00 ONL2962 - Probe: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust 4 $0.00 $0.00
Item Total USD $0.00
3 SN:9999 (Repair Bin) 1 $0.00 $0.00
ONL2403 - Forceps-Biopsy: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen Edge, Align Jaws, Tighten Screws, Reset
1 $0.00 $0.00
ONL2412 - Forceps-Bone Cutting S/A: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen Edge
14 $0.00 $0.00
Service Request Number: VOI765816
STERIS Instrument Management Services, INC.
3316 2nd Ave North Birmingham, AL 35222 800-783-9251 www.steris-ims.com
Date Printed: 2/17/2026 Page 2 of 5
ONL2413 - Forceps-Bone Cutting S/A: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen Edge, Align, Tighten Screws, Reset, Adjust Springs
3 $0.00 $0.00
ONL1104 - General Scissors: Level 4: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips, Thin Blade, Replace Screw
3 $0.00 $0.00
ONL2784 - Retractors-Self Retaining: Level 4: Inspection, Ultrasonic Clean, Rinsing, Dry, Align, Reset, Replace Screws, Replace Spring
1 $0.00 $0.00
OBR2583 - Osteotomes: Beyond Repair - Pitting 1 $0.00 $0.00 OBR2212 - Forcep-ENT: Beyond Repair - Cracked in a Critical Area 1 $0.00 $0.00
Item Total USD $0.00
4 SN:C10002789 ON-LOCATION INSTRUMENT SERVICE (Evar Set - 1) 1 $0.00 $0.00 ONS755 - Diamond Dusting (Needle Holder) 2 $0.00 $0.00 ONL2121 - Clamps: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate 14 $0.00 $0.00 ONL2381 - Forceps: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 4 $0.00 $0.00
ONL1103 - General Scissors: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips, Adjust Shank
1 $0.00 $0.00
ONL2521 - Knife-Handles: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 2 $0.00 $0.00
ONL3152 - Needle Holder-Castro: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust, Align
2 $0.00 $0.00
ONL2481 - Forcep-TC: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate 2 $0.00 $0.00
ONL2603 - Nerve Hook: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust, Resurface Distal Tip
2 $0.00 $0.00
Item Total USD $0.00
5 SN:C10000241 ON-LOCATION INSTRUMENT SERVICE (MIL Hand And Foot Set - 1) 1 $0.00 $0.00 ONL2121 - Clamps: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate 19 $0.00 $0.00 ONL2222 - Curettes: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Sharpen 4 $0.00 $0.00
ONL1203 - Delicate (Tenotomy/Iris) Scissors: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Deburr, Align, Proximate Tips, Adjust Shank
1 $0.00 $0.00
ONL2342 - Elevators: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Sharpen 6 $0.00 $0.00
ONL2352 - Elevators-D/E: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Sharpen
1 $0.00 $0.00
ONL2381 - Forceps: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 5 $0.00 $0.00 ONL2382 - Forceps: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust 3 $0.00 $0.00
ONL1104 - General Scissors: Level 4: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips, Thin Blade, Replace Screw
5 $0.00 $0.00
ONL2462 - Gouges: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Sharpen 2 $0.00 $0.00 ONL2521 - Knife-Handles: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 4 $0.00 $0.00 ONL2551 - Knives: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 1 $0.00 $0.00 ONL2562 - Mallet: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Deburr 1 $0.00 $0.00
ONL3102 - Needleholder: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Align Jaws
6 $0.00 $0.00
ONL2701 - Rasps: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 1 $0.00 $0.00
ONL2781 - Retractors-Self Retaining: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry
2 $0.00 $0.00
ONL2782 - Retractors-Self Retaining: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Align, Reset
5 $0.00 $0.00
ONL2771 - Retractors-D/E: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 6 $0.00 $0.00
ONL2801 - Rongeurs-D/A: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate
1 $0.00 $0.00
ONL2791 - Rongeurs-S/A: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate
2 $0.00 $0.00
ONL2852 - Skin Hooks: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust, Deburr
9 $0.00 $0.00
ONL2872 - Skin Rakes: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust, Deburr
2 $0.00 $0.00
Service Request Number: VOI765816
STERIS Instrument Management Services, INC.
3316 2nd Ave North Birmingham, AL 35222 800-783-9251 www.steris-ims.com
Date Printed: 2/17/2026 Page 3 of 5
ONL2911 - Suction Tubes/Tips: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate
2 $0.00 $0.00
ONL1403 - Supersharp Scissors: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips, Serrate Edge, Adjust Shank
2 $0.00 $0.00
ONL2991 - Wire Cutters: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate
1 $0.00 $0.00
ONL2111 - Bone Tamp: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 1 $0.00 $0.00
Item Total USD $0.00
6 SN:C10001326 ON-LOCATION INSTRUMENT SERVICE (MIL Bring Back Heart - 2) 1 $0.00 $0.00 ONS755 - Diamond Dusting (Needle Holder) 2 $0.00 $0.00 ONL2121 - Clamps: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate 23 $0.00 $0.00
ONL2122 - Clamps: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Align
2 $0.00 $0.00
ONL2161 - Clip Appliers: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate
3 $0.00 $0.00
ONL2381 - Forceps: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 8 $0.00 $0.00 ONL2382 - Forceps: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust 2 $0.00 $0.00
ONL1103 - General Scissors: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips, Adjust Shank
2 $0.00 $0.00
ONL2521 - Knife-Handles: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 2 $0.00 $0.00
ONL3102 - Needleholder: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Align Jaws
20 $0.00 $0.00
ONL2751 - Retractors-Balfour: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate
1 $0.00 $0.00
ONL2771 - Retractors-D/E: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 2 $0.00 $0.00 ONL2851 - Skin Hooks: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 1 $0.00 $0.00
ONL2872 - Skin Rakes: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust, Deburr
2 $0.00 $0.00
ONL1403 - Supersharp Scissors: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips, Serrate Edge, Adjust Shank
1 $0.00 $0.00
ONL1303 - TC Scissors: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips, Adjust Shank
2 $0.00 $0.00
ONL2991 - Wire Cutters: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate
1 $0.00 $0.00
OBR2123 - Clamps: Beyond Repair - Pitting 1 $0.00 $0.00 OBR2162 - Clip Appliers: Beyond Repair - Cracked in a Critical Area 1 $0.00 $0.00
ONL3152 - Needle Holder-Castro: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust, Align
2 $0.00 $0.00
Item Total USD $0.00
7 SN:C10000353 ON-LOCATION INSTRUMENT SERVICE (Mil Total Ortho - 008) 1 $0.00 $0.00 ONL2121 - Clamps: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate 24 $0.00 $0.00 ONL2222 - Curettes: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Sharpen 6 $0.00 $0.00 ONL2342 - Elevators: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Sharpen 4 $0.00 $0.00
ONL2352 - Elevators-D/E: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Sharpen
2 $0.00 $0.00
ONL2381 - Forceps: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 5 $0.00 $0.00 ONL2382 - Forceps: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust 3 $0.00 $0.00
ONL1103 - General Scissors: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips, Adjust Shank
1 $0.00 $0.00
ONL1104 - General Scissors: Level 4: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips, Thin Blade, Replace Screw
1 $0.00 $0.00
ONL2521 - Knife-Handles: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 2 $0.00 $0.00
ONL2563 - Mallet: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Deburr, Reshape Head, Reface Head
1 $0.00 $0.00
Service Request Number: VOI765816
STERIS Instrument Management Services, INC.
3316 2nd Ave North Birmingham, AL 35222 800-783-9251 www.steris-ims.com
Date Printed: 2/17/2026 Page 4 of 5
ONL3102 - Needleholder: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Align Jaws
4 $0.00 $0.00
ONL2701 - Rasps: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 1 $0.00 $0.00
ONL2782 - Retractors-Self Retaining: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Align, Reset
2 $0.00 $0.00
ONL2772 - Retractors-D/E: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Straighten, Deburr
2 $0.00 $0.00
ONL2801 - Rongeurs-D/A: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate
2 $0.00 $0.00
ONL2802 - Rongeurs-D/A: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Reset, Sharpen Edges
1 $0.00 $0.00
ONL2822 - Rongeurs-Pituitary: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Reset, Sharpen Edges
1 $0.00 $0.00
ONL2852 - Skin Hooks: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust, Deburr
1 $0.00 $0.00
ONL2872 - Skin Rakes: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust, Deburr
2 $0.00 $0.00
ONL1403 - Supersharp Scissors: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips, Serrate Edge, Adjust Shank
1 $0.00 $0.00
ONL1303 - TC Scissors: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips, Adjust Shank
1 $0.00 $0.00
OBR2523 - Knife-Handles: Beyond Repair - Pitting 1 $0.00 $0.00 OBR2733 - Retractors-Handheld: Beyond Repair - Pitting 2 $0.00 $0.00
ONL2112 - Bone Tamp: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Remove Burr
1 $0.00 $0.00
ONL2543 - Pliers: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust, Remove Burrs
1 $0.00 $0.00
Item Total USD $0.00
8 SN:C10002671 ON-LOCATION INSTRUMENT SERVICE (MIL Trach Instrumens -001) 1 $0.00 $0.00 ONL2121 - Clamps: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate 17 $0.00 $0.00
ONL2161 - Clip Appliers: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate
4 $0.00 $0.00
ONL2381 - Forceps: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 3 $0.00 $0.00
ONL2383 - Forceps: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust, Straighten, Align Tips
1 $0.00 $0.00
ONL2421 - Forceps-Bone Cutting D/A: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate
1 $0.00 $0.00
ONL1103 - General Scissors: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips, Adjust Shank
1 $0.00 $0.00
ONL2521 - Knife-Handles: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 3 $0.00 $0.00
ONL3101 - Needleholder: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate
2 $0.00 $0.00
ONL2731 - Retractors-Handheld: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 4 $0.00 $0.00
ONL2781 - Retractors-Self Retaining: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry
3 $0.00 $0.00
ONL2771 - Retractors-D/E: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 2 $0.00 $0.00 ONL2851 - Skin Hooks: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 1 $0.00 $0.00 ONL2871 - Skin Rakes: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 4 $0.00 $0.00
ONL2911 - Suction Tubes/Tips: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate
1 $0.00 $0.00
ONL1403 - Supersharp Scissors: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips, Serrate Edge, Adjust Shank
2 $0.00 $0.00
Item Total USD $0.00
9 SN:C10000329 ON-LOCATION INSTRUMENT SERVICE (Mil Minor (SOP 367) - 004) 1 $0.00 $0.00 ONL2121 - Clamps: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate 30 $0.00 $0.00
Service Request Number: VOI765816
STERIS Instrument Management Services, INC.
3316 2nd Ave North Birmingham, AL 35222 800-783-9251 www.steris-ims.com
Date Printed: 2/17/2026 Page 5 of 5
ONL2122 - Clamps: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Align
5 $0.00 $0.00
ONL2381 - Forceps: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 4 $0.00 $0.00 ONL2382 - Forceps: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust 4 $0.00 $0.00
ONL1103 - General Scissors: Level 3: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips, Adjust Shank
3 $0.00 $0.00
ONL2521 - Knife-Handles: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 3 $0.00 $0.00
ONL3102 - Needleholder: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Align Jaws
4 $0.00 $0.00
ONL2731 - Retractors-Handheld: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 2 $0.00 $0.00
ONL2782 - Retractors-Self Retaining: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Align, Reset
5 $0.00 $0.00
ONL2771 - Retractors-D/E: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry 4 $0.00 $0.00
ONL2872 - Skin Rakes: Level 2: Inspection, Ultrasonic Clean, Rinsing, Dry, Adjust, Deburr
2 $0.00 $0.00
ONL2911 - Suction Tubes/Tips: Level 1: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate
1 $0.00 $0.00
ONL1304 - TC Scissors: Level 4: Inspection, Ultrasonic Clean, Rinsing, Dry, Lubricate, Sharpen, Align, Proximate Tips, Thin Blade, Replace Screw
1 $0.00 $0.00
OBR2123 - Clamps: Beyond Repair - Pitting 1 $0.00 $0.00
Item Total USD $0.00
Customers: Do not pay from this document, invoice will follow.
Where applicable, tax and shipping/handling will be added.
******************************************************************** Subtotal USD $0.00
Customer Signature
We appreciate your business!
In the event any item(s) identified on this Packing Slip is currently subject to a recall, please be aware that in the process of completing the repairs indicated, IMS did not take actions related to any such recall. We encourage you to strictly follow any guidance provided by the Recalling Firm with respect to any recall in effect.
File details come from the government source that posted it. Updated .