PO RE AZ NUTRITION NETWK WITH ADHS.PDF
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Page 1 of 1 ARIZONA STATE CONTRACT CONTRACT RELEASE C-86-16-020-3-01 ProcureAZ Purchase Order No.: ADHS16-106547:11 Organizational Reference No.: PO0000161484 Issued: 10/05/2016 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.: ADHS16-106547 (800) 252-5942 Title: Maricopa FFY 17 AZNN Services MAIL INVOICE IN DUPLICATE TO: B Arizona Department of Health Services I Bureau of Nutrition and Physical Activity 150 N. 18th Avenue, Suite 310 L Phoenix, AZ 85007 L US Email: procure@azdhs.gov T O (800) 252-5942 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--OTHCFH4251--4461--HS4500--HS25000-6811---PHS-NPA- Payment Terms: Net 30 NTUEDU--0918---------HSA Shipping Terms: Delivery Calendar Day(s) A.R.O.: 0 Item Description Requisition Quantity Unit Unit Price Total Class-Item 952-26 1 1.00 TOTAL $ 2,213,178.00 $ 2,213,178.00 FFY 2017 AZNN Services TOTAL: $ 2,213,178.00 Approved By: America Coles Phone No.: (602) 542-2878 C-86-16-020-3-01 ATTACHED TO AND A PART OF Purchase Order ADHS16-106547:11 Contract No. ADHS16-106547 AzNN SNAP-Ed Local Implementation Services IN WITNESS WHEREOF, the parties agree to enter into this Contract: 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