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Lifeloc PBA 3000 breath alcohol tester TRADE IN PROGRAM UNTIL JUNE 1ST 2010Hartman Drug and Health Phone: (724)354-2410 Fax: (724) 354-2412 Web: http://www.drugfreepartnership.com Email: thartman@ptd.net Customer/Company Name: _______________________________________ATTN: _____________________________________ Shipping Address: _______________________________________City: _________________State: __________ Zip: _________ Telephone: (________)________________ Fax: (________)_________________ Email: ____________________________________ Must be paid for prior to unit being shipped.. Credit Card orders (Circle One) Visa / Master / Discover / American Express Card Number ________________________________________________________ Expire Date______/________ Card Holders Name ____________________________ Signature of person authorizing ______________________________________ |
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Supplies for the Phoenix 6.0 and EV 30 Breath Alcohol Testing Machine |
Qt |
Total |
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Phoenix 6.0 GK complete Kit Evidential Breath Tester comes with the dry gas tank and regulator wireless printing $2,548.00 - $400.00 |
$2,148.00 |
________________ | |
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Phoenix 6.0 hand held unit only $1,345.00 - $350.00 |
$995.00 |
________________ | |
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EV 30 GK complete Kit $1,735.00 - $350.00 |
$1,385.00 |
________________ | |
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EV 30 hand held unit only $995.00 -$250.00 |
$745.00 |
________________ | |
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Mouthpieces, bag of 100 fits the EV 30 and the 6.0 |
$23.00 |
________________ | |
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Printer Cable, EV30/Phx 6.0 to 1014 Impact Printer if you’re not getting the GK kit that includes the printer and you are keeping your old printer you will need this cable if you do not have the 1014 printer note your printer model here ________________________ found on the back. |
$59.00 |
________________ | |
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Mouthpieces, bag of 250 fits the EV 30 and the 6.0 |
$54.75 |
________________ | |
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DOT Forms, 3-part, 100 per pkg. |
$25.95 |
________________ | |
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Non-DOT Forms, 3-part, 100 per pkg |
$25.95 |
________________ | |
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Spanish DOT Forms, 3-part, 100 per pkg |
$39.50 |
________________ | |
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Spanish Non-DOT Forms, 3-part, 100 per pkg |
$39.50 |
________________ | |
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Labels, for PermAffix Printer, approx. 240 labels (per roll~1 roll) 14104 |
$21.25 |
________________ | |
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Labels, for PermAffix Printer (4 rolls) 14105 |
$78.20 |
________________ | |
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Dry Gas Tank, 34 Liter hazmat fee included Circle your standard of gas .100/.040/.038/.045/.080 |
$154.00 |
________________ | |
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Dry Gas Regulator |
$109.00 |
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Shipping fee $0.-$49.99 add $11.99 / $50.-$349.99 add $13.99 / $350.-$999.99 add $17.99 / over $1,000.00 add $26.99
Pa, 6% SALES TAX IF APPLIES $ _____________ Shipping fee $______________ Total $__________________ |
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