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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 15
Certification and Notice of Termination of Registration under
Section 12(g) of the Securities
Exchange Act of 1934 or Suspension of Duty to File Reports Under
Section 13 and 15(d) of the Securities Exchange Act of 1934
Commission File Number: 0-23540
GULF SOUTH MEDICAL SUPPLY, INC.
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(Exact name of registrant as specified in its charter)
ON WOODGREEN PLACE
MADISON, MISSISSIPPI 39110
(601) 856-5900
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(Address, including zip code, and telephone number, including area code,
of registrant's principal executive offices)
COMMON STOCK, $0.01 par value
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(Title of each class of securities covered by this Form)
None
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(Titles of all other classes of securities for which a duty to file
reports under section 13(a) or 15(d) remains)
Please place an X in the box(es) to designate the appropriate rule
provision(s) relied upon to terminate or suspend the duty to file reports:
Rule 12g-4(a)(1)(i) [X] Rule 12h-3(b)(1)(ii) [ ]
Rule 12g-4(a)(1)(ii) [ ] Rule 12h-3(b)(2)(i) [ ]
Rule 12g-4(a)(2)(i) [ ] Rule 12h-3(b)(1)(ii) [ ]
Rule 12g-4(a)(2)(ii) [ ] Rule 12h-3(b)(2)(ii) [ ]
Rule 12h-3(b)(1)(i) [X] Rule 15d-6 [ ]
Approximate number of holders of record as of the certification or notice
date: 1
There is one holder of record of the class of securities listed above as of
the date hereof. Effective as of March 26, 1998, Gulf South Medical Supply, Inc.
("Gulf South") merged with and into a wholly owned subsidiary of Physician Sales
& Service, Inc. ("PSS"), with Gulf South being the surviving corporation and
becoming a wholly owned subsidiary of PSS. In connection therewith, all of the
Common Stock of Gulf South was converted into the right to receive securities of
PSS, which was renamed "PSS World Medical, Inc."
Pursuant to the requirements of the Securities Exchange Act of 1934, as
amended, PSS World Medical, Inc. (as successor to Gulf South) has caused this
certification/notice to be signed on its behalf by the undersigned duly
authorized person.
PSS WORLD MEDICAL, INC.
Date: March 30, 1998 By: /s/ Fred Elefant
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Fred Elfant
Secretary and General Counsel