H;C03983;C03983;BT1;202517;663-5Q3401;USD;201;201;;DAVIES, BRITNEY A;1660 South Columbian Way;Attn: Prosthetics;Seattle;WA;98108;;;Deliver To: Seattle VA Prosthetist: BRAUN, ALEXANDRA Itemized invoice required via email after charges. ************ VALID FOR 30 DAYS ** **** CHARGE ACC TO CONTRACT OR FAIR MARKET PRICE. PATIENT TO CONTACT PROVIDER FOR QUESTIONS. -BILLING INFO -- ATTN: Britney EXP: 11/2025 375 VANCOUVER, WA 98662 ***** NO SUBSTITUTIONS, ALTERATIONS, ADDITIONS OR DELETIONS ARE AUTHORIZED TO THIS ORDER W/O THE APPROVAL OF THE PURCHASING AGENT. INCLUDE PURCHASE ORDER NUMBER WHEN PROCESSING CHARGES. PO NUMBER IS KEY FOR ME. THANK YOU! EMAIL CONFIRMATION & INVOICE;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;20217M080;;PR;1;CONDE, RICHARD CASTELL
D;ORIMM080;;PR;1;CONDE, RICHARD CASTELL
D;20013M080;;PR;1;CONDE, RICHARD CASTELL
D;ORIMM080;;PR;1;CONDE, RICHARD CASTELL

H;C04311;C04311;BT1;202517;689-Q56687;USD;201;201;;ARDER, MALCOLM DWAIN;950 Campbell Ave;Attn: Prosthetics;West Haen;CT;06516;;;;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;20218W100;;PR;1;PELLETIER, JOSEPH E
D;ORIMW100;;PR;1;PELLETIER, JOSEPH E

H;C03920;C03920;BT1;202517;626-5Q3432;USD;201;201;;WASHINGTON, AARON MYKALE;1310 24th Avenue S;;Nashville;TN;37212;;;;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;20011M100;;PR;1;FIELD, NORMAN T JR
D;ORIMM100;;PR;1;FIELD, NORMAN T JR
D;20013M100;;PR;1;FIELD, NORMAN T JR
D;ORIMM100;;PR;1;FIELD, NORMAN T JR

H;C03755;C03755;BT1;202517;528A7-R57149;USD;201;201;;NODZO, HOLLY;800 IRVING AVE;ATTN PROSTHETICS;Syracuse;NY;13210;;;PURCHASE NOT TO EXCEED $10,000 If purchase >$3500 provide invoice when charging CC PURCHASE CARD: VISA EXP: 08/26 CVV: 317 PHONE: 315-425-4400 EXT. 53996 / FAX: 315-425- 2924 Please mail invoice to: HOLLY.NODZO@VA.GOV Thank you;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;40031XW075;;PR;1;BROWN,DELBERT WAYNE SR
D;ORIMXW075;;PR;1;BROWN,DELBERT WAYNE SR
D;20218XW075;;PR;1;BROWN,DELBERT WAYNE SR
D;ORIMXW075;;PR;1;BROWN,DELBERT WAYNE SR

H;C03755;C03755;BT1;202517;528A7-R57148;USD;201;201;;NODZO, HOLLY;800 IRVING AVE;ATTN PROSTHETICS;Syracuse;NY;13210;;;PURCHASE NOT TO EXCEED $10,000 If purchase >$3500 provide invoice when charging CC PURCHASE CARD: VISA EXP: 08/26 CVV: 317 PHONE: 315-425-4400 EXT. 53996 / FAX: 315-425- 2924 Please mail invoice to: HOLLY.NODZO@VA.GOV Thank you;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;642W120;;PR;1;PITCHER, SAMUEL R
D;ORIMW120;;PR;1;PITCHER, SAMUEL R

H;C03755;C03755;BT1;202517;528A7-R57145;USD;201;201;;NODZO, HOLLY;800 Irving Ave;Attn: Prosthetics;Syracuse;NY;13210;;;PURCHASE NOT TO EXCEED $10,000 If purchase >$3500 provide invoice when charging CC PURCHASE CARD: VISA EXP: 08/26 CVV: 317 PHONE: 315-425-4400 EXT. 53996 / FAX: 315-425- 2924 Please mail invoice to: HOLLY.NODZO@VA.GOV Thank you;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;40031XW115;;PR;1;PRITTY,MILO MORRIS JR
D;ORIMXW115;;PR;1;PRITTY,MILO MORRIS JR

H;C03902;C03902;BT1;202517;618-E51751;USD;201;201;;GRAY, PENNY J;One Veterans Drive;Attn: Prosthetics;Minneapolis;MN;55417;;;;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;20011W120;;PR;1;BAXTER, RICHARD BAYLY
D;ORIMW120;;PR;1;BAXTER, RICHARD BAYLY
D;40032W120;;PR;1;BAXTER, RICHARD BAYLY
D;ORIMW120;;PR;1;BAXTER, RICHARD BAYLY

H;C03710;C03710;BT1;202517;501-P57413;USD;201;201;;CARINO, DAVID L;1501 SAN PEDRO DRIVE SE;ATTN: PROSTHETICS;Albuquerque;New Mexico;87108;;;;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;481M090;;PR;1;KNIGHT,DAVID CLAYTON
D;ORIMM090;;PR;1;KNIGHT,DAVID CLAYTON
D;581M090;;PR;1;KNIGHT,DAVID CLAYTON
D;TDIMM090;;PR;3;KNIGHT,DAVID CLAYTON

H;C04052;C04052;BT1;202517;757-5Q6124;USD;201;201;;WILLIAMS, YOLANDA G;420 N. James Road;Attn: Prosthetics;Columbus;OH;43219;;;********* **** **** ** PLEASE BILL FOR ITEMS. WILL ADJUST PRICE WHEN INVOICE IS RECEIVED. INCLUDING ANY SHIPPING* *PER FEDERAL REGULATIONS- ALL GOVERNMENT VENDORS ARE REQUIRED TO SUBMIT INVOICE FOR PAYMENT. EMAIL: yolanda.williams4@va.gov;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;20218W100;;PR;1;NORRIS, JOHN A III
D;ORIMW100;;PR;1;NORRIS, JOHN A III
D;20017W100;;PR;1;NORRIS, JOHN A III
D;ORIMW100;;PR;1;NORRIS, JOHN A III

H;C03890;C03890;BT1;202517;656-R54056;USD;201;201;;GOULET, SAMANTHA R;4801 Veterans Drive;;St. Cloud;Minnesota;56303;;;Samantha Goulet Purchasing Agent/Prosthetics and Sensory Aids Services 320 252-1670-ext 7592 Samantha.goulet@va.gov;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;20018W130;;PR;1;WHITAKER, BRANDON R
D;ORIMW130;;PR;1;WHITAKER, BRANDON R
D;40032W130;;PR;1;WHITAKER, BRANDON R
D;ORIMW130;;PR;1;WHITAKER, BRANDON R

H;C03844;C03844;BT1;202517;553-5R6361;USD;201;201;;PARHAM, THIAS;4646 JOHN R. ST;ATTN: PROSTHETICS;Detroit;MI;48201;;;;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;468W110;;PR;1;QUELL,OWEN JOSEPH JR
D;TDIMW110;;PR;1;QUELL,OWEN JOSEPH JR
D;20018W110;;PR;1;QUELL,OWEN JOSEPH JR
D;TDIMW110;;PR;1;QUELL,OWEN JOSEPH JR

H;C04263;C04263;BT1;202517;589-5P8438;USD;201;201;;WHITE, CRYSTAL D;4801 Linwood Blvd.;Attn: Prosthetics;Kansas City;MO;64128;;;;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;20216M130;;PR;1;
D;ORIMM130;;PR;1;
D;20018M130;;PR;1;
D;ORIMM130;;PR;1;

H;C03844;C03844;BT1;202517;553-5R6372;USD;201;201;;PARHAM, THIAS;4646 JOHN R. ST;ATTN: PROSTHETICS;Detroit;MI;48201;;;;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;491W100;;PR;1;JOHNSON, RAYMOND J
D;ORIMW100;;PR;1;JOHNSON, RAYMOND J

H;C04275;C04275;BT1;202517;550-5P4064;USD;201;201;;DUCKWORTH, FALICIA N;1900 East Main Street;;Danville;IL;61832;;;;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;20019W115;;PR;1;CALES, DOUGLAS S
D;ORIMW115;;PR;1;CALES, DOUGLAS S
D;484W115;;PR;1;CALES, DOUGLAS S
D;TDIMW115;;PR;3;CALES, DOUGLAS S

H;C03827;C03827;BT1;202517;671-5F4428;USD;201;201;;WOODCOX, MICHAEL C;7400 Merton Minter Blvd;ATTN: PROSTHETICS;San Antonio;TX;78229;;;Minter San Antonio, TX 78229 TILOS, BLK/BLK 20018 12MD A5500 1 PAIR VERNO, BRN PART/STYLE: 40012 12MD A5500 QUANTITY: 1 PAIR Please Email all invoices to: Michael.woodcox@va.gov This is a bona fide need for FY25 and is subject to the availability of FY25 funds. CC ENDING 0590 CC exp 12/26 CVV 477 office code 4129 It is a violation to store or keep on your files any credit card information from purchaser Michael Woodcox Purchasing Agent, Prosthetics Department of Veterans Affairs South Texas VISN 17 Kerrville Veterans Hospital 3600 Memorial BLVD Kerrville, TX 78028 Office: (830) 896-2020 ext 12574;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;20018M120;;PR;1;PAWLIK, JERRY ALLEN
D;ORIMXW120;;PR;1;PAWLIK, JERRY ALLEN
D;40012M120;;PR;1;PAWLIK, JERRY ALLEN
D;ORIMXW120;;PR;1;PAWLIK, JERRY ALLEN

H;C04052;C04052;BT1;202517;757-5Q6133;USD;201;201;;WILLIAMS, YOLANDA G;420 N. James Road;null;Columbus;OH;43219;;;FEDERAL REGULATIONS- GOVERNMENT;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;491W105;;PR;1;MINOTTI, DENNIS EARL
D;ORIMW105;;PR;1;MINOTTI, DENNIS EARL
D;20218W105;;PR;1;MINOTTI, DENNIS EARL
D;ORIMW105;;PR;1;MINOTTI, DENNIS EARL

H;C04000;C04000;BT1;202517;518-Q5A890;USD;201;201;;COOPER, BRYANT JOSHUA;200 Springs Road;Attn: Prosthetics;Bedford;MA;01730;;;;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;20019M085;;PR;1;RASKE, DANIEL JAMES
D;ORIMM085;;PR;1;RASKE, DANIEL JAMES

H;C03881;C03881;BT1;202517;693-R55127;USD;201;201;;HILLIER, BONNIE L;1111 EAST END BLVD.;ATTN: PROSTHETICS;Wilkes Barre;PA;18711;;;;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem;VA_Azure_function.FTPOrder+FTPOrderItem
D;20016M130;;PR;1;ROBBINS, RICKY ALLEN
D;ORIMM130;;PR;1;ROBBINS, RICKY ALLEN
D;ORIMM130;;PR;1;ROBBINS, RICKY ALLEN
D;ORIMM130;;PR;1;ROBBINS, RICKY ALLEN

