Extracted text (via pymupdf_layout)
1973 characters
Page 1 of 2 ARIZONA STATE CONTRACT CONTRACT RELEASE ProcureAZ Purchase Order No.: ADHS13-041805:22 Organizational Reference No.: PO0000229871 C-86-13-074-3-13 Issued: 05/12/2017 V Vendor Number: 000010983 Arizona Department of Health Services E Maricopa County Public Health S Epidemiology and Disease Control Immunization N 4041 N. Central Avenue, #1400 H Program Phoenix, AZ 85012 I 150 N. 18th Avenue, Suite 120 D Phoenix, AZ 85007 O P US R Email: procure@azdhs.gov T O Contract No.: ADHS13-041805 (602) 364-3630 Title: Maricopa County Hlth Dept. - Pan Flu Immunization Activities MAIL INVOICE IN DUPLICATE TO: B Arizona Department of Health Services I Epidemiology and Disease Control Immunization Program L 150 N. 18th Avenue, Suite 120 L Phoenix, AZ 85007 US T Email: procure@azdhs.gov O (602) 364-3630 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: 2017--FEDEDC2541--5171--HS2000--HS20000-6811---PHS-EDC- Payment Terms: Net 30 PANFLU--0618---------HSA Shipping Terms: Delivery Calendar Day(s) A.R.O.: 0 Item Description Requisition Quantity Unit Unit Price Total Class-Item 948-92 1 PO for the delivery of Seasonal Pan Flu Immunization Services & Activities 1.00 TOTAL $ 91,670.00 $ 91,670.00 to aid MARICOPA COUNTY HLTH DEPT. PO period thru 12/31/2017. Contract# ADHS13-041805 Contract period thru 12/31/2017. CFDA# 93.268 *FFATA certification is required TOTAL: $ 91,670.00 Approved By: Myra Chavez Phone No.: (602) 364-3649 C-86-13-074-3-13 ATTACHED TO AND A PART OF Purchase Order ADHS13-041805:22 Maricopa County – Immunizations Services Arizona Department of Health Services IN WITNESS WHEREOF, the parties agree to enter into this Contract: FOR AND ON BEHALF OF MARICOPA COUNTY By Denny Barney Chairman, Board of Supervisors Date ATTEST: Clerk of the Board Date APPROVED AS TO FORM: Attorney for Maricopa County Date Page 2 of 2