PO 26 RE FARMERS MKT NP WITH ADHS.PDF

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ARIZONA STATE CONTRACT
CONTRACT RELEASE
ProcureAZ Purchase Order No.: ADHS14-053007:26
Organizational Reference No.: PO0000319131
Issued: 02/16/2018
V Vendor Number: 000010983 Arizona Department of Health Services
E Maricopa County Public Health S Bureau of Nutrition and Physical Activity
N 4041 N. Central Avenue, #1400 H 150 N. 18th Avenue, Suite 310
Phoenix, AZ 85012 I Phoenix, AZ 85007
D US
O P Email: procure@azdhs.gov
R
T
O
Contract No.: ADHS14-053007 (800) 252-5942
Title: Maricopa FFY 2018 FMNP Services
MAIL INVOICE IN DUPLICATE TO:
B Arizona Department of Health Services
I AP Services
150 N 18th Avenue, Ste 260
L Phoenix, AZ 85007
L US
Email: INVOICES@azdhs.gov
T
O
(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--LOTCFH4190--4410--HS4250-LOTWIC-HS25000-6811---PHS- Payment Terms: Net 30
NPA------------HSA
Shipping Terms:
Delivery Calendar Day(s) A.R.O.: 0
Item Description Requisition Quantity Unit Unit Price Total
Class-Item 952-26
1 4100.00 EACH $ 1.25 $ 5,125.00
FFY18 WIC FMNP Services: Check Issuance Per Participant - $1.25 ea
TOTAL: $ 5,125.00
Approved By: Gladys Lovera
Phone No.: (602) 364-1649

C-86-14-023-3-18 ATTACHED TO AND A PART OF
Purchase Order ADHS14-053007:26
FARMER’S MARKET NUTRITION PROGRAM
ADHS
IN WITNESS WHEREOF, the parties agree to enter into this Agreement 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