PURCHASE ORDER: V640P85824 STATUS: ORDERED (NO FISCAL ACTION)-AMENDED M.O.P.: PURCHASE CARD LAST PARTIAL RE…

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PURCHASE ORDER: V640P85824 STATUS: ORDERED (NO FISCAL ACTION)-AMENDED M.O.P.: PURCHASE CARD LAST PARTIAL RECD.: REQUESTING SERVICE: PHARMACY VENDOR: GENERAL INJECTABLE VACCINE SHIP TO: SEE REMARKS P.O. BOX 9 V.A. MEDICAL CENTER BASTIAN, VA 24314 3801 MIRANDA AVE. 800-270-2273 PALO ALTO, CA 94304 ACCT # 2102783 DELIVERY HOURS: 8-5 CONFIRMATION COPY DELIVERY LOCATION: LIVERMORE ________________________________________________________________________________ FOB POINT: DESTINATION |PROPOSAL: N/A |AUTHORITY: COST CENTER: 822400 | | FAR 13 TYPE: PURCHASE ORDER | |AGENT: DELIVER ON/BEFORE 06/09/2008 |CONTRACT: | SIDNEY THOMPSON DISCOUNT TERM: NET30 | VA797-P-0116 |DATE: 05/30/2008 APP: 3680160-035 | | | |TOTAL: 29227.50 -------------------------------------------------------------------------------- UNIT TOTAL ITEM DESCRIPTION QTY UNIT COST COST -------------------------------------------------------------------------------- 1 FLULAVAL VACCINE 450 VI 64.95 29227.50 POC @GIV: SARAH 800.554.8338 FAXED DEA CERT PO ON 5/30/2008 STK#: 19515-0885-07 ITEMS PER VI: 1 BOC: 2631 CONTRACT: VA797-P-0116 THIS TRANSACTION HAS BEEN PURCHASED USING A PURCHASE CARD. **FLU VACCINE ORDER** ** PLEASE CALL TONI OR JOEY AT 65063 AS THIS ORDER WILL REQUIRE 2 SPECIAL FORMS ** V.A. TRANSACTION NUMBERS: 640-08-3-035-0397 AMENDMENT NUMBER: 1 EFFECTIVE DATE: 5/30/2008 **CURRENTLY: ITEM NO. 1 ITEM MASTER FILE NO. BOC: 2631 CONTRACT: VA797-P-0 116 FLULAVAL VACCINE ITEMS PER VI: 1 NSN: STK#: 19515-0885-07 450 VI AT $ 64.95 = $ 29227.50 **WILL NOW BE AMENDED TO READ: ITEM NO. 1 ITEM MASTER FILE NO. BOC: 2631 CONTRACT: VA797-P-0 116 FLULAVAL VACCINE POC @GIV: SARAH 800.554.8338 FAXED DEA CERT PO ON 5/30/2008 ITEMS PER VI: 1 NSN: STK#: 19515-0885-07 450 VI $ 64.9500 = $ 29227.50 *ADDED THROUGH AMENDMENT* AUTHORITY EDIT IS OTHER (SPECIFY TYPE OF MODIFICATION AND AUTHORITY) END OF DISPLAY--PRESS RETURN OR ENTER '^' TO HALT: