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Oxygen

Oxygen U.S.P.

Invoice OXYGEN U.S.P Jenco Medical and Mobility

Full Unit Contents Produced By Air Liquefaction Bulk Liquid Oxygen

Gallons UN 1073 Full Unit

Date Tank Filled Lot Number

Cu. Ft. Fil Unit Number Date Analyzed

Plant Location /No. Date Filled Time:0001-2358

Unit No. Purity Amount Inches

Analyzed for Current USP Batch No Date of Analysis

Analysis Report

Component Method Limit Results

Assay Servomax 570A 99.0 Percent

Odor Instruction 3.13 none

Filler's Signature

Oxygen

OXYGEN GAS

Product Information
Product Type	Human prescription drug label	Item Code (Source)	NDC:66988-100
Route of Administration	RESPIRATORY (INHALATION)	DEA Schedule

Active Ingredient/Active Moiety
Ingredient Name	Basis of Strength	Strength
Oxygen Oxygen		1 L

Packaging
#	Item Code	Package Description	Marketing Start Date	Marketing End Date
1	NDC:66988-100-37	37 in 1 CYLINDER

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
		2010-06-14

PLEASE, BE CAREFUL!

Be sure to consult your doctor before taking any medication!