Laboratory Medicine Consultants Supply Order Sheet
	Date					Attn:
	Client Name					Address
Quantity			Item Description
			Dermatology Requisition Slips (100 per pack)
			Ob/Gyn Requisition Slips (100 per pack)
			Surgical Pathology Requisition Slips (100 per pack)
			Large Specimen Bags (100 per pack)
			Small Specimen Bags (100 per pack)
			7ml Pre-filled Formalin Containers (200 per case) 055531
			10ml Pre-filled Formalin Containers (150 per case) 23032059
			20ml Pre-filled Formalin Containers (100 per case) 23316154
			30ml Pre-filled Formalin Containers (75 per case) 23316155
			60ml Pre-filled Formalin Containers (50 per case) 23032060
			120ml Pre-filled Formalin Containers (60 per case) 23426796
			Pap Paks with Cyto Brush (25 per box)
			ThinPrep Pap Kits (25 per flat)
			Urine Cups 3oz. (100 per bag)
			32oz. Empty Containers (100 per case) 02-544-214
			64oz. Empty Containers (50 per case) 02-544-215B
			18-Gauge Biopsy Needles (10 per box) $106.00 per box
			Sharps Containers $4.33 ea.
			Slide Containers FNA Red Top (10 per bag)
			Slide Containers Red Top [Empty] (15 per bag)
			Slide Containers [Clear]
			STAT/Priority Labels
			Sextant Prostate Boxes
Please print and fax (702)732-2310, or give to LMC Courier.  Any questions, please call (702)732-2113.
	Received by					Date