PO RE MULTI HOUSING PROJECT WITH ADHS.PDF

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ARIZONA STATE CONTRACT
CONTRACT RELEASE
ProcureAZ Purchase Order No.: ADHS15-084012:3
Organizational Reference No.: P00000053305
Issued: 11/25/2015
Vendor Number: 000010983 Arizona Department of Health Services
MarIcopa County Public Health Bureau of Tobacco and Chronic Disease
150 N. 18th Avenue, Suite 310
4041 N. Central Avenue, #1400 Phoenix, AZ 85007
Phoenix, AZ 85012 US
procure@azdhs.gov
Contract No.: ADHS15-084012 (602) 364-0824
Title: BTCD Maricopo Multi Housing Project (PO 11101/15 - MAIL INVOICE IN DUPLICATE TO:
10/31116) Arizona Department of Health Services
Bureau of Tobacco and Chronic Disease
150 N. 18th Avenue, Suite 310
Phoenix, AZ 85007
US
Email; procure@azdhs.gov
(602) 364-0824
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: 2016–TTHPHS1284-4520-1-181308-TTP303-HS86500-6811—PHS- Payment Terms: Net 30
TOBCHN--------HSA Shipping Terms:
Delivery Calendar Day(s)A.R,O.: 0
Item Description j Requisition Quantity Unit Unit Price Total
Class-Item 948-34 1.00 YR $ 160,000.00 $ 160,000.00
1
Tobacco Education and Prevention Services
Class-Item 946-34 1.00 YR $ 659,640,00 $ 659.640.00
2
Tobacco Education and Prevention Services
TOTAL: $ 819,640,00
Approved By: Byron Homer
Phone No,: (602)364-1223

C-86-15-053-3-02 ATTACHED TO AND A PART OF
Purchase Order No, ADHS15-084012:3
BTCD Maricopa Multi Housing Project
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