PO RE SR FAMERS MKT NP WITH ADHS.PDF

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ARIZONA STATE CONTRACT
CONTRACT RELEASE
C-86-1 ,1-D23-3-2°
ProcureAZ Purchase Order No.: ADHS14-053007:27
Organizational Reference No.: P00000350076
Issued: 05/25/2016
Vendor Number: 000010983 Arizona Department of Health Services
Maricopa County Public Health Bureau of Nutrition and Physical Activity
4041 N. Central Avenue, #1400 150 N. 18th Avenue, Suite 310
Phoenix, AZ 85012 Phoenix, AZ 85007
US
Email: procure@azdhs.gov
Contract No.: ADHS14-053007 (800) 252-5942
Title: Maricopa FEY 2018 SFMNP Services
MAIL INVOICE IN DUPLICATE TO:
Arizona Department of Health Services
AP Services
150 N 18th Avenue, Ste 260
Phoenix, AZ 85007
US
Email: INVOICES©azdhs.gov
(602) 542-6354
Release Instructions
TERMS AND CONDITIONS set forth in our Bid, Quotation, or Purchase Order
are incorporated herein by reference and become a part of this order.
Account Code: 2018--TTHCFH5554--4410--HS1308-TTP303-HS86500-6841---PHS- Payment Terms: Net 30
TOBCHN HSA
Shipping Terms:
Delivery Calendar Day(s) A.R.O.: 0
Item Description Requisition Quantity Unit Unit Price Total
Class-Item 952-26
1 1900.00 EA $ 1.70 $ 3,230.00
WIC SFMNP Services: Check Issuance Per Participant - $1.70 each
TOTAL: $ 3,230.00
Approved By: Gladys Lovera
Phone No.: (602) 364-1649

C-86-14-023-3-20 ATTACHED TO AND A PART OF
Arizona Department of Heath Services
Purchase Order No. ADHS14-053007:27
Contract No. ADHS14-053007
Maricopa FFY 2018 SFMNP Services
IN WITNESS WHEREOF, the parties agree to enter into this IGA and its
Amendments:
FOR AND ON BEHALF OF
MARICOPA COUNTY
By
Chairman, Board of Supervisors
Date
ATTEST:
Clerk of the Board
Date
APPROVED AS TO FORM:
Attorney for Maricopa County
Date