65--CLIPPING DEVICE

PURCHASE ORDER: 531-P01308 STATUS: Transaction Complete M.O.P.: PURCHASE CARD LAST PARTIAL RECD.: 1 07/09/10 REQUESTING SERVICE: ACQUISITION & MATERIEL MGMT VENDOR: BOSTON SCIENTIFIC CORP SHIP TO: A&MM SVC. 480 PLEASANT STREET V.A. Medical Center WATERTOWN, MA 02172 500 West Fort Street 800-225-3226 Boise, ID 83702-4598 ACCT # 25305 DELIVERY HOURS: FMS Vendor Code: 04269524005 8AM TO 4PM VERBAL PURCHASE ORDER DELIVERY LOCATION: WAREHOUSE ________________________________________________________________________________ FOB POINT: ORIGIN |PROPOSAL: Christina/523987756|AUTHORITY: COST CENTER: 828100 | | FAR 13 TYPE: PURCHASE ORDER | |AGENT: DELIVER ON/BEFORE 7/18/2010 |CONTRACT: | AMANDA J GLADE DISCOUNT TERM: NET30 | |DATE: 7/2/2010 APP: 3600160-200 | | | |TOTAL: 4996.00 UNIT TOTAL ITEM DESCRIPTION QTY UNIT COST COST -------------------------------------------------------------------------------- 1 CLIPPING DEVICE/RESOLUTION CLIP 1 CS 4980.00 4980.00 STK#: 2261 QTY PREV RCVD: 1 PARTIAL NO.: 1 Items per CS: 20 BOC: 2632 2 EST. SHIPPING AND/OR HANDLING 16.00 *Emergency Order* vendor not on the epls- Due to emergent need no other source sought. V.A. TRANSACTION NUMBERS: 531-10-4-200-2835