H;C03773;C03773;BT1;20250310;541-5K7407;USD;201;201;;KAYIJ, IHEMBA C;6751 N Chestnut St;ATTN: PROSTHETICS;Ravenna;OH;44266;;;PLEASE NOTIFY US OF BACKORDERED OR DISCONTINUED ITEMS IMMEDIATELY DELIVER TO: ATTN: KELLOGG, KAREN Ravenna Multi-Specialty Outpatient Clinic 6751 N Chestnut St Ravenna, OH 44266;006
D;617XW100;;PR;1;THOMAS, DAVID RICKY
D;ORIMXW100;;PR;1;THOMAS, DAVID RICKY

H;C03773;C03773;BT1;20250310;541-5K7656;USD;201;201;;KAYIJ, IHEMBA C;1260 Monroe Ave;Suite 1A;New Philadelphia;OH;44663;;;PLEASE NOTIFY US OF BACKORDERED OR DISCONTINUED ITEMS IMMEDIATELY DELIVER TO: ATTN: JOZIC, DAMIR New Philadelphia Multi-Specialty Outpatient Clinic 1260 Monroe Ave, Suite 1A New Philadelphia, OH 44663 Vendor: Orthofeet Stle: Tilos Color: Olive Size: 10 Width: Extra Wide 4E;006
D;20021XW100;;PR;1;HUFFMAN, GENE JOSEPH
D;ORIMXW100;;PR;1;HUFFMAN, GENE JOSEPH

H;C03773;C03773;BT1;20250310;541-5K7676;USD;201;201;;KAYIJ, IHEMBA C;10701 EAST BLVD;Attn: Prosthetics;Cleveland;OH;44106;;;PLEASE NOTIFY US OF BACKORDERED OR DISCONTINUED ITEMS IMMEDIATELY DELIVER TO: CLEVELAND VAMC, (541/121) ATTN: BECKER, BRIAN 10701 EAST BLVD CLEVELAND, OH 44106 Vendor Name: Orthofeet Item Number: Yari Hands free Size: 10.5 W Color: Blk Quantity: 1 pr. HCPC: L3221 Price: ~ $80 Delivery Location: Wade / Becker Justification: Dx;006
D;20011W105;;PR;1;TRUEX, DONALD D
D;ORIMW105;;PR;1;TRUEX, DONALD D

H;C03773;C03773;BT1;20250310;541-5K7745;USD;201;201;;KAYIJ, IHEMBA C;1060 E Waterloo Rd;Attn: Prosthetics;Akron;OH;44306;;;Ordering Information PLEASE NOTIFY US OF BACKORDERED OR DISCONTINUED ITEMS IMMEDIATELY DELIVER TO: ATTN: LAUER, ROBIN VSC 1060 E Waterloo Rd Akron, OH 44306 Vendor Name: Orthofeet Item Number: Glacier Gorge Size:7.5 XW Color: Quantity: 1 pair HCPC: A5500 Price: Delivery Location: VSC 1060 E waterloo Rd Akron, OH 44306 Attn Robin Lauer Justification: Left foot and ankle pain,;006
D;581XW075;;PR;1;DYE, CLAUDIUS HERALD JR
D;ORIMXW075;;PR;1;DYE, CLAUDIUS HERALD JR

