H;C04328;C04328;BT1;20250220;689-Q59943;USD;201;201;;LOMAX, CHARDINAY M;555 WILLARD AVE;Attn: Prosthetics;NEWINGTON;CT;06111;;;;006
D;468W120;;PR;1;PALMER, EARNEST AUSTIN
D;ORIMW120;;PR;1;PALMER, EARNEST AUSTIN

H;C04186;C04186;BT1;20250220;437-M50234;USD;201;201;;JONES, PATRICIA M;2101 Elm Street;Attn: Prosthetics;Fargo;ND;58102;;;;006
D;40032W105;;PR;1;LEYENDECKER, MARK ALLEN
D;ORIMW105;;PR;1;LEYENDECKER, MARK ALLEN

H;C03983;C03983;BT1;20250220;663-5Q8405;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;006
D;612XW110;;PR;1;WALLING, DAN E
D;ORIMXW110;;PR;1;WALLING, DAN E
D;612XW110;;PR;1;WALLING, DAN E
D;ORIMXW110;;PR;1;WALLING, DAN E

H;C03874;C03874;BT1;20250220;552-N57039;USD;201;201;;STULLER, MICHELLE;4100 W. Third Street;ATTN: PROSHETICS;Dayton;OH;45428;;;PLEASE NOTIFY US IMMEDIATELY OF ANY BACKORDERED OR DISCONTINUED ITEMS PER FEDERAL REGULATION ALL GOVT VENDORS ARE REQUIRED TO SUBMIT AN INVOICE UPON PAYMENT. FAX INVOICE TO :317-988-5671 / E-MAIL TO: MICHELLE.STULLER@VA.GOV PHONE NUMBER 317-988-1282 CREDIT CARD EXP: 07/27 BILLING ZIP CODE: 45428 PLEASE SEND AN EMAIL CONFIRMING RECEIPT OF THIS PURCHASE ORDER;006
D;617W130;;PR;1;SCHENKING, MICHAEL GERARD
D;ORIMW130;;PR;1;SCHENKING, MICHAEL GERARD
D;492W130;;PR;1;SCHENKING, MICHAEL GERARD
D;ORIMW130;;PR;1;SCHENKING, MICHAEL GERARD

H;C04276;C04276;BT1;20250220;550-5P5844;USD;201;201;;BELL, SHARON NICOLE;1900 East Main Street;Attn: Prosthetics;Danville;IL;61832;;;;006
D;20019W110;;PR;1;BURNS, DAVID WILLIAM
D;TDIMW120;;PR;1;BURNS, DAVID WILLIAM

H;C03843;C03843;BT1;20250220;553-5R9941;USD;201;201;;MORINVIL, NAPHTALIE;4646 JOHN R. ST;ATTN: PROSTHETICS;Detroit;MI;48201;;;;006
D;613XW140;;PR;1;GHELDOF, THOMAS JOHN
D;ORIMXW140;;PR;1;GHELDOF, THOMAS JOHN
D;652XW140;;PR;1;GHELDOF, THOMAS JOHN
D;ORIMXW140;;PR;1;GHELDOF, THOMAS JOHN

H;C04291;C04291;BT1;20250220;636A5-5PU739;USD;201;201;;HOEHN, DANIEL J;420 Victory Park Drive;Attn: Prosthetics;Lincoln;NE;68510;;;Please contact Daniel Hoehn at Daniel.Hoehn@va.gov or 402-346-8800 ext 202912 for any further questions. Please email invoice to Daniel.Hoehn@va.gov or fax to 612- 725-4980. Thank you.;006
D;490W095;;PR;1;MEYER, THOMAS MICHAEL
D;ORIMW095;;PR;1;MEYER, THOMAS MICHAEL

H;C04275;C04275;BT1;20250220;550-5P5863;USD;201;201;;DUCKWORTH, FALICIA N;1900 East Main Street;Attn: Prosthetics;Danville;IL;61832;;;;006
D;20217W105;;PR;1;REESE, ROBERT DUANE
D;ORIMW105;;PR;1;REESE, ROBERT DUANE

H;C03748;C03748;BT1;20250220;550-5P5865;USD;201;201;;WEST, TROY M;1900 East Main Street;Attn: Prosthetics;Danville;IL;61832;;;;006
D;510W130;;PR;1;REED, DUANE FRANKLIN
D;ORIMW130;;PR;1;REED, DUANE FRANKLIN

H;C04452;C04452;BT1;20250220;740-5V1171;USD;201;201;;HERRERA, GRISELDA;2601 Veterans Drive;Attn: Prosthetics;Harlingen;TX;78550;;;is bonafide for FY 2025;006
D;489XW100;;PR;1;REY, JESUS MARIA
D;ORIMXW100;;PR;1;REY, JESUS MARIA

H;C03915;C03915;BT1;20250220;528A6-O56087;USD;201;201;;BECKER, ALECIA A;76 Veterans Avenue;Attn: Prosthetics;Bath;NY;14810;;;;006
D;20015XW130;;PR;1;DIXON, RICKY
D;ORIMXW130;;PR;1;DIXON, RICKY
D;469XW130;;PR;1;DIXON, RICKY
D;ORIMXW130;;PR;1;DIXON, RICKY

