Use and Care Manual
P
a
E
M
S
e
NA
M
AD
D
CIT
Y
TE
L
SE
R
MO
D
PU
R
PL
A
“Y
O
* T
h
a
radig
m
M
AIL T
H
e
rvice
@
M
E:
_
_____
_
D
RESS:_
_
_
_
Y
:
_
_______
_
L
EPHONE:
R
IAL#:
_
___
_
D
EL#:
_
___
_
R
CHASE D
A
A
CE OF PU
R
O
UR ORD
E
h
is form ca
n
PART #
m
Health
H
IS FO
R
@
para
d
_
_________
_
_
_________
_
_
________
_
(Day)
_
____
_
(Night)
_
__
_
_
_________
_
_
_________
_
A
TE:
_
_____
_
R
CHASE:
_
_
_
E
R WILL
B
n
also be fa
x
D
& Well
R
M WIT
H
d
igmh
w
_
_________
_
_
________
_
_
______ ST
A
_
________
_
_
_________
_
_
________
__
_
_________
_
_
_________
_
_
________
_
B
E PROC
E
x
ed in Fax #
D
ESCRIP
T
ness, I
n
H
YOU
R
w
.com
_
________
__
_
_________
_
A
TE:
_
_____
_
_
_________
_
_
_________
_
__
________
_
_
________
_
_
________
_
_
_________
_
E
SSED
W
:
62
6
-810-2
1
T
ION
PAR
T
16
n
c.
R
RECE
_
_________
_
_
_________
_
_
______ ZI
P
_
_________
_
_
________
_
_
_________
_
_
_________
_
_
_________
_
_
_________
_
W
ITHIN 3 B
1
66
T
S RE
Q
IPT OF
_
_________
_
_
________
_
P
:
_
_______
_
_
________
_
_
_________
_
_
________
_
_
_________
_
_
_________
_
_
________
_
USINESS
Q
UEST
PURC
H
_
_____
_
__
_
_
_________
_
_
________
_
_
_________
_
_
_________
_
_
________
_
_
________
_
_
________
_
_
_________
_
DAYS
”
H
ASE T
O
_
________
__
_
_________
_
_
_________
_
_
________
__
_
________
_
_
_________
_
_
___
_
_____
_
_
_________
_
_
_________
_
QTY
O
_
________
_
_
________
_
_
________
_
_
_
_______
_
_
_________
_
_
________
_
_
_________
_
_
_________
_
_
________
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_