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HomeMy WebLinkAbout94-03133 .,' ] 'i: 0: ';[: v\ ]\ ~ ~, u \ I I [! ,-I ~I ----I .....: J r() rt') - M 6U\lIlUI.,1 CARLISLE HOSPITAL, Plaintiff IN TIIU COl!R'!' OF COMMON PLEAS ClJMDI1RLAND COUNTY, PI1NNSYLV ANIA v. 94- 3 J 1'\ CIVIL TERM CIVIL ACTION. LAW JACK COOPBR allll MARY R. COOPBR, Defendants JURY TRIAL DUMANDI1D COMPLAINT AND NOW, CIImcs Ihc Plaintiff, hy its IIHonlcys MARTSON, DBARDORFF, WILLIAMS & OTTO, IInd herehy nvers ns fulluws: I. Plnlntiff Is Cnrllsle Hospitnl, n PCllnsylvnnln non'pmf1l cU'llUmtlon wilh its principle plnce uf hllsincss III 246 Parkl~r Strccl, Carlisle, Cumhcrland Cuunty, Pcnnsylvania, 17013. 2. TIlc Dcfendllnts arc hushnnd nnd wlfc residing nt One Cuoper Circle, Carlisle, Pennsylvnnla, 17013. 3. The Defendnnt, Mary R. Cuoper, was n patlentnl Cnrllsle I1uspital fmm Jnly 7, 1991, through July 10, 1991, fur Ihe hirth uf the Defcndnnls' child. 4. The Defendant, Mary R. Cuuper, was again ndmitled 10 Cnrllslll Huspital on Novemher 20, 1993, through Novcmher 22, 1993, for thc hlr1h uf another child. S. The Defendant, Mnry R. Cuupcr, was alsotrellled UII PcbnlUry 9, 1993, Pcbmllry 16, 1993, March 31, 1993, April U, 1993, Junc 16, 1993 and August 24, 1993. 6. Plaintiff, Mary R. Cuupcr and Ihc Dcfcndauts' children wcre pmvlded reasunable 8nd necessary IIIcdlcal care by thc Plaintiff nllll thc Plaintiff's agenls, scrvanls 8nd clllployccs. 7. A cupy of Ihc bills fur thnl trealmcnt which havc hcen previuusly scnt lu thc Defendanls, lire hcrehy IIHllchcd as I1xhibit "A". K. Allhuugh thc Dcfl'lIllants havc IIIl1dc sume paymcnls UII IIl'eOlIllI, nt the prescnl tlmc Ihe tullll ulllslal1lllng bahllll'c is $6,493.16. 9. Thc uutstllndlllg halllncc uf $6,493.16 reprcsenls thc reasonahle nnll neccssary vllluc uf Ihc servll'l's pmvldell lu Ihc Dcfcl1ll11llls, for whkh Ihcy havc yCllu pay. '" .., .. " , l ,'All LNT rlUIIBER ....'" "lwlw W W" III "'t.,ll ... I I'" .J f\"; "'r.. v I ..J PHIE~T NAHE """ I. .., "U, '... PAT CRD SERV NUH OIS(HA~~E BID TYPE FI: CD GRP STMT5 DAn: AGENT 1 60 2 9 07/09/91 E042 1 PATIENT INFORHAIIO"l1 AUt1 FC bO Sr.x F IIACE II "1AR 5T H 5NN 110-H-ZOoO 01 S 5T 01 CNTY 077 ACCI RfP M/R' Z280S8 OR. 44004 EVANS,OAVID ~ DuB 11/0~/~1 RLB 0414-U OAY5 0002 ADH 01 07/07111 LST STHI DT 04/13/92 JH~ d. C:lOPfil 1 WOPEil C IfICLf CAilLl5ll, PA 17013 (7171 Z49-30~d J915b5-1 MARY R. COorE~ ,fSP0N~lbLE PARTY I"lFJRMATJON I 'os TIN... HTE BAT H/0701 RdO I7IOb/il 190 17108191 190 J7/011/11 PHO J7IOIl191 PtiO J7I00191 PHO J7I08/H PHO H/01l/91 PHO J7/0,/11 PrlO J7I08191 PHO ;7/08/91 PHO J7/0cll91 PHO H/Od191 PHO 17/011191 PuO J7/011191 RdO J7IO,/'I1 PH J7IOU,1 fl54 J710i/91 R54 J7/011H R54 l7/00H R54 J7IOiIH R54 J7/09lH R54 )7109/91 R54 J7I01/'11 RS4 )7/0,/91 R54 J 7/09111 R54 ) 7/0Y/; I R54 J7/0iUl RS4 J 7/0.,/91 Xy1 J7IO'tUI X97 J7I09/H PHO J7/0Utl PuO J 7/0'//1 I PHO ,7/0.,/91 p~,o J7/0~1t1 1'/10 J 7110/rl Cl~ (Ii ARGE c. OtH 17500 17500 17S00 Iii SO 0 10508 18H2 18511 18520 ME P 50 PROll ANU30 lUB70 lU871 ME T 5 6 17500 78 ZO 0 7ft 22 5 79855 800H 80012 80413 81901 79171 80404 79320 n090 79015 n 200 ~585J S5 85~ f'~OI1 A 1530 B~ 00 2 DJCO, SHoQ ~500S 5 I:. ~"I Cf )ATE 07107/91 04119/91 07/07/91 07/08/91 07/08/91 07/08/91 07/08/91 07108/91 07/08/91 07/08/91 07/08/91 07/08/91 07108/91 07/08/91 07/08/91 07/07/91 o 71 07/91 o 7 I 0 7 19 1 07/07/91 07107/91 07/07/91 07107191 07/07191 07/07/91 07/07/91 07/~7I91 07/011'11 07107191 o7/~8/91 07108/91 07/~9/QI 07/~9/91 07109191 07109/01 07l~9/(Jl o 7/~8/Ql l~'" J;I CliAQ(jfS ~~~ TECIiNICAL DlS:RIPTlON FINAL BI"L AHOU~I flOJH-BED/4: IIOJM-BED/H II:JJH-I3ED/4C JELIVFilY ROOH/JIRTHING ROOH FETAL HONITOfH~j LOCAL TRAY PREP TRAY SUIUtiE I MEPERIDINE INJE:TIU~ PQuPOXYPHE~E-N IABLET dlSH/BENZ rlEN/~ALSI1"l "UdRICANr, SIE~rlE LUllRICANT, srrnLE H~THYLER~)NOvl~: INJECT'N IlOJH-aED/4: STERILE H20 oOllLE 1500ML IF7115/P SOLUTION BI:.TADI~E 4 01 IRAY lABJq & DELIVERY PAJ PRE~PI~G lLt.CTROOt. SPIR4. TELE'IETRY 4MNltiDO( 9601 MAl Mr.T SPEC P~'DU:T/OEVI:E/5ER :HRG 1l4l0il JISP SCHI:K TUMMY GRIPS - ~:OIUt1 BY FT ~4JIi PERINEAL H 01 KII PEKSJ~4L CA~E 40MIS5 'AK '.11 GENfrl4L AO~ISSI'lN 0111 ')4Tli JI:iP tYPE ~ 'lH 1l1,IECT COOMAS ~~0POXYPHfNE-~ IA~LET 100MG [j I SALOOY,- 10MO DUUM0(Rl)1(~l r~BLET5 2.~~U _30 J1l~SAI~/:A5A~li~4N'lL CAP onulu~ :rlLOnl'l~ l~J O.?ll 2Hl VIAL ,"l AUr') DIE. .i:l' 25H:i 1 00 HG o 30 GH SOli 2 01 .200t\jIAMP (T-IOO I'XIIIIlI'l' "A" AMOUNT ?000,50 395.00 395,00- 395.00 625,90 85.H J7 .95 4.H 10.80 5.00 10.00 21.00 1.75 3. 60 9,50 395.00 7.95 4.35 77.40 4.35 17,00 7.95 5.00 4.35 10.80 7.95 Z 1. 00 10.80 7,95 17,50 17,50 15,00 1.75 69,05 1,75 28.dO lb. S 5 :O"lTINUlO . 4/2~ 192 A TI F.NT ,UHBlR 222 ACCOUNT TRANSFlH 10 3AD OtHIS PATlE~T NAME 17013 'O:iTING CHARGE SERVICE ,ATE BAT CODE DATE ,7/10/11 ; 7110/H ,7/11/91 ,7/11/91 ) 7/13/H .8/01/91 J7/01J/91 ,7/0alYl ,7109191 } 7/09191 ; 7/0H'Il j 7/0;191 ,7/09191 '7/01191 7/091H i 7/0901 7/0v191 . 7/0~191 .7/0v191 ! 7/10/91 9/00191 .0/17191 .1I01J191 .211UH PHO PHO sn 537 CIO C 30 RRO RRO RHO RRO RHO RHO RRO RRO RRO PRO RRO RkO RHO RRO C 18 C 75 C 87 C 91 BiN71 WI no llDS5 PR051 55000 01080 16101 16000 B0081 79418 79454 7902 Z B0080 81030 B0081 79050 79080 ERY40 PHY51 ldOOO 010110 01080 01080 01080 MESSAGE 07/10/91 07/10/91 04/29/91 04/29/91 07/08/91 08/01/91 07l0/l/91 07/08/91 07/07191 07/07/91 o 7/07 191 07/07/91 o 71 0 7 191 o 71 07 191 07107/91 07/07/91 07/07/91 07/09/91 07/09/91 07/07/91 09/06/91 10/16/91 11/07/91 lUl1/91 DATE 4/28/92 PAT CRD SERV NUll DISCH'R~E BID TYPE FI: co GRP STMTS OAU AGENT 1 60 Z 1 9 07/09/91 E042 PATIENT I~FORMAIIU'l1 AUM FC on ~F.X f IlACE \>I MAR sT H sN'I 216-~6-2000 UI S Sf 01 CNTY 077 ACCI ~p M/R- Z2RbS8 OR- 44004 EVA'lS,DAVIO B DOB 11/01/61 ~'H 0414-0 UAYs )002 AUM OT 07/07/91 LST STMI DT 04/13/9Z '~O:<\I CHARJEs i'~~' HCIHHCAL DES:RIPTlON dENZOCAINE SPRAr 90ML "ITCH HAZEL MED PAUs LI~OCAI~E lb I~JECTIJ'l PR0t1ETHAll~E I'IJl:TIJ~ PHLEtlOTJMY FEE PATIENT PAYMENT L>INAMAP DIP RDJM-BED/NuRS FINGER sTlX dUJD 5'J::;A1 SERVo ITEM CATHETER SJCTIJ~ 5/6 F1. MASK OXYJEN A'lY SIZE :UFF NEONATAL j.OJD ~REssJ~E *4 8314 TUdE CONNECTIN~ L' TUdlNG OXYuEN 7' VI'lYl Fli'lGER sTlX IILJJD SU:'A1 SERVo ITEI1 DIAPERS INFANT I oHASEs ~5057 KIT NURSEqy ADMISSION E1YTHR0MYCIN O?H OINT uD lGM PHYTONADIJ'IE I~JE:TIJN O.SOOML R00M-BEDI NuRs PA IIENT PAYHtNI "ATlENT PArMlNI ~A IIE"lT PAYMEtH PA TlENT PAYMENT 40 P AU 20Ml 50'1G/Ml ~AD ~lBT A~JUNT I .0. CREDIT NuTt5 0\10 ENTRY JA Tt 07/011/91 07 loon I \17/~ol'll J7110/'.1 J7IIOI1I J7/10nl J7110/91 AC T IJ'l UAT: ,97585-1 HARY R. COOPER E&PONSIBlE PARTY I'IFJRMATION I JAC~ tl. C:.lOPER 1 COOPER CIRCLE CARLISLE, PA (711) 249-3658 AT "A; AOM \>I/UATE OF 4129191 SHvULD ,AVE BEEt. 717191 />lADE :JKPECTlJ'lS ,ELF PAY.DEL 717 n lZ27 ~ THAD PNIYATE ROOM .I uAr~'Hn5,~NA ,T HOHt,SEYEHAL MESSAHS LtFT,';!) REf'!) . ~LLS,:/rlOLJI' Yi sT .t1R liAS Tllf,lf,wASr,' 1 . I'll E P A IH u ' FOR r III 5 H J L L , ~ D "" w A:i I"), 07/0~/91 07/0~/91 07/0~/Ql ~7110/91 07/11191 07/101 Ql 07111/91 A"IOU"4T 7.85 7.85 15.70 1,75 b.3O 270.00- 14.60 275.00 3.30 4.35 7.95 14.40 4.35 4.35 3.30 10.60 21. bO 5.25 14.40 275.00 100.00- 100.00 - 100.00- 100.00- 1989.15 u ~" I.. ... .' ~ ~ .. w'., ,."...,.., ,.. .. ".. .......,... ... .. I . .,.. w, , .. 'AlIENT ,UHBER PA T1E~T NAHE PAT ~qD SEHV NUM DISCH'R~E BID TYPE F/: CD GRP sT~T5 OATE AGENT PATIENT INFuRMATIO~1 ADM FC bO SEX F IIACl W HAil ST M SNN ZI6-~6.20bO OIS ST 01 CNTY 077 ACCI RE~ ~/R_ ZZB6S8 OH_ 44004 EVANs,D4VID ~ D~B 11/0~/61 R&B 0414-0 JAYS 3002 AUM OT 07/07/9\ LST STilT OT 04/13/9Z 1975D5-1 MAHY R. COQPlR 1 \HPU~SldLE PA~TY I~F1f!MATION I JAC~ u. DOPER 1 CIlOPEI/ CIRCLE CARLISLE, PA (7ln Z49-3658 17013 ,E~UEST[O i400 DEPOsII,:AN'I,O~.Y "AD j50,TD~D HIM T"AT wou.U~tl CUVfQ f'vT ,OUH,'lJ ilEPlY,ADV MUST 'AY SSO WHEN OME~ )OwN,C/CAsHIER TO GET MONEY,IF 'ROBLEM CALL ME, TOLD ~Il ~E 'i) CHFCK ON J ISCI)U~T IF tiE PD 1'1 FULLl90 DAYS AS HERE. COuLu tJE PROBLE~S HERE GUTlNG D "NT L1AIl L1R FIl 2D PvT QM 70.00 INAL ,ILL 2000.50 'TIC REQUESTED S470 NOw ~/SluO ~u,NO 'ISSIN~/4277J64 SiNCE HJS P.VING WORK ,AS CUT dACK.SHE WA'ITs TO IALK/HIH C/ME dLLt.D PATIENT \RS/C HT'D/C wiLL SE'Iu )Z70,SZOO MO .Nu-AU~,~ET 5100 MO FOR ~/6,MOIlE AS CA~ .ILL SET UP ,TM~T PR MSO-05 w5TH- 1 ZOOO.50 PI/T-Y ,ECD CI\ FR 270.00 (70.00 PVT RM,dAL iN ACCT) PER COMM OZ2/023,MJK AOVO 1M AUDIN~/w4277364,SET S100 MO Q/6,SEE ,BOVE,RuMOk IS FAHILY MEMRERS ~OVING TJ lA IF HOME IS SOlD,FEEL GOOD CHANCE PT OULO DO sAME,CONTRACT SENT ,EC'VD CONTRACT )T/DJN~A R[ OCT PAYME~T ,TM'IT PR MSG-17 wsT~- 2 Z289.15 f'IlT-Y ,TH~T PR MSG-16 wsT~- 4 1989.15 PRT-Y ,THNT PR HSG-17 wSTM- 5 1989.15 PHT-Y . LU PH~ Db: I PULL.EO I~ f'T F ILF GV MK .IVIVIAN RANDOLPH,s-I-L.,249-J433,ADVID( .ALL H!P FuR AJOMF~S,Tqy ~il wEST'OFC . Vl~ T"O Mil SD PD. .MJ( ,[~CT 5Et /'IE IMJ~ .Lu Sf'( .ITH VIVIAN tHNDOLF SIE Af)V T:l . AL.L MI Hrl -VI VI AN CJOolP. 24~-01.15 (LD ,PK ,," H MTHIc JAO .,~J ~Any Alit 1 'J JRtEi'lvlE. I~C THEY ~ILL ql: ,1Ol'If APfllL :lH ,AY lJEi'Er;Do ON WEATHER 'dfY wlL. 11E AT AM, AJ(l,lfS5 .NO \.iLL IIV D'1"1 (J~~[CTEO ,.1L CJllrl '0 11TH" oYl: f~,H/ARLl5 MA It. NL E 4 M Ll N 'Ii 1 4 00 '/ f ,N I . LEI) IJ c ^ ,1 Ll 5 L ~ HIT S '.'AY LtTTr,llWES t~ou ) [:;T r P,AL "10 T 1 (l L.T I~ 60 2 07110/91 07/10/91 07110191 07/10/91 07/10/91 07110191 07/10/91 07110/91 07/1~/91 07/17/91 07/Z4/91 07/24/91 07/Z4/91 07126/91 07/29/91 07/29191 07/Z9/91 07131191 08/01191 0~/01/91 08/06/91 03/0a/91 OR/08/91 08/0d/91 09/04/91 10/11/91 10114191 lZI1t>/91 01120/92 OZ111I9Z OU11192 OZll1/9Z OZ 1l1/9Z 02/Z4/9Z OZ1Z5/9Z oZ 1Z5/9Z OZ/z3/92 OZl2~/9Z 0?/Z5/H J11Z5/n 02 t?5/9Z 0Z/i5/v2 u'1'5/92 01120192 1 9 07/0Y/91 E04Z 07/10/91 07/10/91 07/10/91 07/1U91 07/10/91 07/10/91 07/10/91 07120191 07/1S/91 07/17/91 07/2~/91 07/24/91 07/B/90 07/B/91 0712~/91 07121/91 08/02/91 07131/91 08/01/91 08/01/91 08/09/91 08/08/91 06/09/91 09/12/91 09/04/91 10/11/91 10/14/91 12/B/91 01/2U92 02111/92 02/11/92 02/11/92 02111/92 02124/92 OU2S/92 OU2S/92 02lZS/9Z OUZ5/92 02l2S/92 02125/92 02lZ5/92 02l2S/H OU25192 nJn~/Q2 OU04/94 "r,rM6IO.t f'AlIElll I/U 710HO' '/ PAT I [ 1/ T N A M [ COOP[~I CHRISTIAN A, SOC SEC , 000000000 N"'V clm GTY AMOUNT ~70 IBIOI I 14,60 170 IBOOO I ~7~,00 170 10000 I 27~IOO 270 7'OBO I ~Jf7~ 270 7'021 I 14,40 270 790~~ I 13.10 270 BOOBI I 3,30 270 7B2'~ I 10,90 270 90401 I 13.1 0 301 e6307 I ~6.JO n [ND OF CHA~O[5 U CAIIL I $L E !lnB~ IT AL fRIIll l'AII,'1T I'ILLINII IIATA F[~ 4, 1"4 OOI~5 j'AOr [liMOn AMT l,ljl: F'A'MHIIO Ilt.l (!lOS I<OON CIIIIB Pf<EV IIAL "'..Ill ,00 ,00 !lllO.OO 6n. 3!l 0/5 IN~ .00 r~T ANT 5f<V DT fUT ~T ~Al RErE~rNcr DESCRIPTION 14,60 11 ~O?J II ~O'/,l 11111 IIIt/AMf' ~/f' ::n~ t 00 112091 1120'1 ,,~o 0417r 1 ;'00 ~OOM-ntIlNUf<B ~7~IOO 112193 11219,1 1.1'0 (14171 1700 I.OON- ~E OINURB ~3.7ll 112093 11 ~~'J ~IO o KIT NU~BE~' ADMISSION 14,40 112093 112"93 RIO 1 curr NEONATAL ~LOOD FRESSURE tJ 93 I J 13.1 0 1120'3 11 ~~9J filO ~ DIAF'EFt PFtEMATUFtE U 3,30 112093 112~?:1 RIO I FINOER UTIX ~LOOD BUGAR SERVo ITEM 10.90 112193 11 Z~9J RU II LANCET9 TENDEf< FOOT 13.10 1121n 112;?93 'IU I WARME'" HEEL INFANT 26.30 112~9J 11~Z'J F'HO 94999 SUPPLEMENTAL NEwtOf<N SCIIEENINO 0:/04,"14 FF .I !WId 0 , I P^llfHI HU "Y6~I-O 1^11L/l1 H^Mt COOF'm. MMcY Ii, SOC SEC t ~1676:0'O Nnv ClIO on ~~'O 0050:! ~70 81~06 ~70 79416 ~70 79444 270 800B~ 270 7'1403 305 !i~OJ~ 301 ~1I000 30~ 1111014 301 1111812 JOII ~1\014 ~~o HOFle;~ 2tiO HIV~l ~~O rR061 21\0 FlNIII 360 29001 370 113012 21\0 CltOOI ;!!50 O)(YO~ ~~O ^TR1\4 2DO PEN71 ~~O NEoe2 21\0 ~1T70 30 1 ~~ooo 270 799:7 270 78204 :!70 70~9~ :!70 7984!i 360 30626 270 790H 21\0 F'RU II Jl~ ~~701 c ^1,1.IBLt IiO~f'lt M, H<I,,, f'MUN! II/LLlIIO o^'^ Fep 4. 1994 OBI:'4 F'^Oe :' MII'UE 3610,66 CII^nau r^ I MHII C tIEl CII09 r,OOM clms FREV MI. ,00 .00 720.00 3610.66 U/S IUS .00 ^MOUHT eXT ^MT Gnv 01 FST OT D^T nrFtREHCE DESCRIPTION 1 2J. 7~ 1 10,80 1 .. I 3f, I 4, 3e 1 7. 9!i 1 71?~ 1 l~t~O I 6,60 I le.70 1 1::!.90 1 If:.70 1 5.00 1 41. ~o 1 411~O 1 5.00 1 ~6J,30 I 399,70 1 l~~fOO o 1. 7~ 1 I. 7~ I 14.40 I J.60 I 14.40 t fj 100 1 t J. 1 'J 1 4. J~ J 4.35 I 10, DO 1 13,20 1 "'J 1 Q~ I ~,OO 1 ~1100 .1 EIIO OF CH^ROrS I' 23.n 11:1'1] 11::~7] ^'5 : ClnCUIT MIiJL1 e020^J 10,00 1121'13 11~2?] ^7r- 6 M8/( ^NESWESI^ 8Z 6 LO M'ULT 1062 4.3e 112173 112293 ^7e 6 C^THETEn SUCTION 14 FR. 4...e 11:193 112293 ^75 4 Y^NMUER SUCTION INSTRUMENT 7.7e 112173 112291 6'5 2 TUPE NON-CONDUCTIVE 12' l.ge 11~1?3 112~93 6i~ 3 C6NNISTER SUCIION leOOML 1~.50 11:093 112~93 CIO 1~IFCE CHO 9T^T 6.60 112093 11:~93 CIO INIFCE CHO PHLEPOTOHY FEE le.70 112093 112293 CIO INIFCE CHO HCT I HOP 12.90 1120?J 11~:93 CIO INTFCE CHO SPECI^L H^NDLINO 1~.70 112193 11~273 CII nlTFCE CHO HCT I HOB e,oo 11~193 11~193 PT2 IHTFCE CHG MORPHINE INJECTION 10MO 41 ,~o 112:93 11:;"1 FHO MIV^CURIUM tNJ lMIV^CRONl 20MO/IOML 41 ,eo II~~YJ 1I:~9J F'110 F'ROPOFOL (OIPnIV^Nl INJ 200M0120ML e,oo 112:93 112~93 FHO FENT^NYL INJECTION ~DOMCO 116],JO 1121'13 1I~~93 FI10 OR TIME JI-60 MIN 399,90 11~19J 11229J FIIO ^NES 31-60 MINS 12~,vO 11~1'13 11:2?3 rllo 6NEsmESI6-F'H6RM, CIJ6RDE 14,00 II ~~9J II ~2n PliO OXYCOI'ONEf^CET^MINOF'HEN 1,7~ 112293 11:~91 F'HO 6TreOllNE INJECTION 1.2MO/3ML 14,40 112293 112273 FHO ~ENZOC^INE SPR^Y 90ML 3,60 112~9J 11~:93 FHO NEOSTIGMINE (PROBTIGMINI INJ JMB/3ML 14,40 II ~2?3 II ~~?3 rllo WITCH H6ZEL MEO F'^OS 40PM 6,00 11~193 11~391 ell IlnFcr CIIG F'HLEMTOMY FH 13.10 112173 11~]91 G~I 7 IR^' IREP E-Z SIERILE 37-~701 4,3~ 11~1'3 11~393 ~:I 4 NSS IRRIO, ~DTTLE 21\0 ML ~F71~2/P 4,3~ 112193 11~39J ~~l : SIONOE TnlF60UE X-R^Y ~EIECT 13~2 10,00 11~I?J II~J73 G21 II P6CK B6SIC ^114T 39.60 II ~I13 II ~37J n:1 6 SUTURE CHMOC CL^BS I 7,9~ 1121'J 1123'1 R21 6 NEEDLe OU^RD COUNT 1200 5,00 11~J?J 1I~393 rl10 FMF'OX\'r-'IIENE-N I^BLET 100HO nl,oo 11~191 11:?9J M~7 BOJ04 SUROP6lH O~ MICRO ;,~, ",./'14 II' ,I ['0610, I 1M It/I! 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