PURCHASE ORD RE FARMERS MKT WITH ADHS.PDF

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ARIZONA STATE CONTRACT
CONTRACT RELEASE
1 111-66L3-a--00
ProcureAZ Purchase Order No.: ADHS14-053007:3
Organizational Reference No.: E0152594
Issued: 02/19/2014
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) 262-5942
Title: Farmers' Market FY14
MAIL INVOICE IN DUPLICATE TO:
Arizona Department of Health Services
Bureau of Nutrition and Physical Activity
150 N. 18th Avenue, Suite 310
Phoenix, AZ 85007
US
Email: procure@azdhs.gov
(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: 14-97481-44010-6811- Payment Terms: Net 30
Shipping Terms:
Solicitation (Bid) No.: Delivery Calendar Day(s) A.R.O.: 0
Item Description I Requisition Quantity Unit Unit Price Total
Class-Item 952-26
1 3475.00 PERSON $ 1.25 $ 4,343.75
PO valid 3/01/14-9/30/14
Farmer's Market Nutrition Program Services (FMNPS): WIC FMNP Check
Issuance $1.25 Der Darticoant
TOTAL: $ 4,343.75
Approved By: Maria Valadoz-Navarro
Phone No.: (602) 542-2845

C-86-14-023-3-01 ATTACHED TO AND A PART OF
Farmer’s Market
ADHS14-053007:03
IN WITNESS WHEREOF, the parties agree to enter into this Agreement:
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