Purchase Order - McGRATH™ MAC Video Laryngoscope

BUYER

Adam Powell, CRNA

Adam Powell, LLC

2004 E Village Dr

Ellensburg, WA 98926

adam@adamantanesthesia.com

SELLER

To be completed below

ITEM DESCRIPTION

Description	Qty	Price
McGRATH™ MAC Video Laryngoscope with Extra Blades (Pending functional testing - see conditions below)	1	$600.00
TOTAL:		$600.00

CONDITIONS OF PURCHASE

This purchase order is CONDITIONAL upon successful functional testing of the device.

Note: The screen was unable to be tested at time of inspection due to a dead/missing battery. Full functionality of the display and device must be verified before this purchase is finalized.

Payment Terms: Upon successful testing confirming full functionality of the McGRATH™ MAC Video Laryngoscope, payment of $600.00 will be sent directly to the selling party.

Shipping: The purchase price includes shipping costs. Seller must provide tracking number upon shipment.

If testing reveals the device is non-functional or defective, this purchase order is void and the item shall be returned to the seller at no cost to the buyer.

SIGNATURES

Seller Full Legal Name:

This name will be used as the Seller in this purchase order

Company/Business Name:

Address:

City:

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ZIP:

Email Address:

Phone Number:

Choose Signature Method:

Draw Signature (Handwritten) Type Signature

Seller Signature:

Please sign below using your mouse, trackpad, or touchscreen

I have read, understood, and agree to be bound by all terms and conditions of this Conditional Purchase Order

I certify that I have the legal authority to enter into this Purchase Order

CONDITIONAL PURCHASE ORDER