PO RE WELL WOMAN HEALTH CHECK FROM ADHS.PDF
Extracted text (via tesseract_tsv)
2123 characters
Page of2 ARIZONA STATE CONTRACT 1 CONTRACT RELEASE ProcureAZ Purchase Order No.: ADHS13-029502:4 Organizational Reference No.: E0123156 Issued: 08/16/2013 Vendor Number: 000010983 Arizona Department of Health Services Maricopa County Public Health 4) Bureau of Health Systems Development 501 N. 44th Street, #200 y 150 North 18th Avenue, Room 306 Phoenix, AZ 85008 ey Phoenix, AZ 85007 4 US Email: procure@azdhs.gov Contract No.: ADHS13-029502 (602) 542-1219 Tite; HSDAWWHP MARICOPA FY14 4 MAIL INVOICE IN DUPLICATE TO: Arizona Department of Health Services ‘| | AP Services - Trang Huynh 1740 West Adams #301 Phoenix, AZ 85007 4 US Email: INVOICES@azdhs.gov 4 3] (602) 542-0781 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: 14-99493-78300-6811- ----------- Payment Terms: Net 30 Shipping Terms: Solicitation (Bid) Ne.: Delivery Calendar Day(s) A.R.O.: 0 item Description Requisition Quantity Unit Unit Price Total Class-item 948-48 Well Woman Health Check - FEDERAL Personnel, ERE, and Screening As approved by ADHS and authorized by the Purchase Order Index 99493 1 1.00 , YR $ 190,000.00 $ 190,000.00 PCA 78300 AY: 14 Federal CFDA 93.283 Title: National Cancer Prevention & Control Program. Period of Performance: 7/1/2013 - 6/30/2014. Contract is set to expire 12-31-13. NO EXPENDITURES SHALL BE MADE AFTER THE ABOVE CONTRACTED DATE UNLESS THE CONTRACT IS EXTENDED. IF THE CONTRACT iS EXTENDED THE STANDING PURCHASE ORDER WILL BE VALID THROUGH 6-30-14 Class-item 948-48 2 1.00 YR $ 54,250.00 $ $4,250.00 Well Woman Health Check - STATE FUNDS - Personnel, ERE, Screening, Indirect and Other As approved by ADHS and authorized by the Purchase Order Index: 42060 PCA: 78300 AY: 14 Page 2 of 2 ARIZONA STATE CONTRACT CONTRACT RELEASE Class-ltem 948-48 4.00 YR $ 15,000.00 $ 15,000.00 Weill Woman Health Check - ADOT FUNDS - Screening - As approved by ADHS and authorized by the Purchase Order Index: 81080 PCA: 78300 TOTAL: $ 259,250.00 Approved By: Nicki Strattard Phone No.: (602) 542-1174