MediSource

Diagnostics

Invoice

INV-2026-0145

Paid

From

MediSource Diagnostics

1420 Harbor Industrial Way, Oakland, CA 94607

sales@medisource.io

+1 (415) 555-0100

Bill to

Summit Hospital Network

Dr. Peter Lindgren

biomed@summithn.org

Salt Lake City, UT

Issued

Jun 20, 2026

Due

Jul 20, 2026

DescriptionQtyUnit priceAmount
ImmunoLite 20001$52,750.00$52,750.00
TSH CLIA Assay Cartridge8$265.00$2,120.00
Extended Warranty (36 mo)1$3,400.00$3,400.00
Subtotal
$58,270.00
Tax (8.5%)
$4,952.95
Total due
$63,222.95

Notes

Immunoassay platform upgrade — Phase 1.

Payment terms: net 30 days from invoice date. Please quote the invoice number with your remittance. MediSource Diagnostics · ISO 13485:2016 certified distributor. This is a demo document generated from mock data.