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Purchase Order Form Stryker <br /> Account Manager Purchase Order Date <br /> Cell Phone Expected Delivery Date <br /> Stryker Quote Number 220608084906 <br /> Check box if Billing same as Shipping n <br /> BILL TO CUSTOMER# I SHIP TO CUSTOMER# I <br /> Billing Account Num 1080469_..._..._._..._..._.._..._...._..._..._...___.._...__._..._..._._..._..._..._... Shipping Account Num 1080469 <br /> Company Name Company Name City of Everett Fire Dept <br /> Contact or Department Contact or Department Roger Vares <br /> Street Address Street Address 2811 Oaks <br /> Addt'I Address Line Addt'l Address Line <br /> City,ST ZIP City,ST ZIP Everett,WA 98201 _..._..._......_..._..._.._..._._.__................_. <br /> Phone Phone (425)257-8139 <br /> Authorized Customer Initials Authorized Customer Initials <br /> DESCRIPTION QTY TOTAL <br /> REFERENCE QUOTE <br /> Accounts Payable Contact Information The Terms and Conditions of this quote and any subsequent purchase order ofthe <br /> Customer are governed by the Terms and Conditions located at <br /> https://techweb.stryker.com as modified between the parties hereto(July <br /> Name 2022)with the deletion of Paragraph 13-Indemnification;copy of modified <br /> Email Terms attached hereto. <br /> Phone The terms and conditions referenced in the immediately preceding sentence do not <br /> apply where Customer and Stryker are parties to a Master Service Agreement. <br /> Authorized Custom r Signature <br /> - APPROVED AS TO FORM <br /> Printed Name � lj` e, �(1 \� OFFICE OF THE CITY ATTORNEY <br /> Title YERETT <br /> Signature �T <br /> Date <br /> Attachment Stryker Quote Number 220608084906 <br /> *Sales or use taxes on domestic(USA)deliveries will be invoiced in addition to the price of the goods and services on the Stryker Quote. <br /> C' <br />