H;C04186;C04186;BT1;20250402;437-R59558;USD;201;201;;JONES, PATRICIA M;2101 Elm Street;Attn: Prosthetics;Fargo;ND;58102;;;;006
D;20161W120;;PR;1;BANG,  BRUCE CAVANAUGH
D;ORIMW120;;PR;1;BANG,  BRUCE CAVANAUGH

H;C04275;C04275;BT1;20250402;550-5P7639;USD;201;201;;DUCKWORTH, FALICIA N;1900 East Main Street;Attn: Prosthetics;Danville;IL;61832;;;;006
D;646W110;;PR;1;RANDLE,  MARISELLIS TRENTONROMEL
D;ORIMW110;;PR;1;RANDLE,  MARISELLIS TRENTONROMEL

H;C03901;C03901;BT1;20250402;550-5P7646;USD;201;201;;WRIGHT, KYLE ALAN;1900 E MAIN ST;ATTN: PROSTHETICS;Danville;IL;61832;;;;006
D;865W085;;PR;1;ROHRER, DONNA ARLENE
D;ORIWW085;;PR;1;ROHRER, DONNA ARLENE

H;C04288;C04288;BT1;20250402;689-5Q3214;USD;201;201;;PERRY, MAUREEN;950 Campbell Ave.;Attn: Prosthetics;West Haven;CT;06516;;;;006
D;20015XW115;;PR;1;PERRY,  WILLIAM T
D;ORIMXW115;;PR;1;PERRY,  WILLIAM T

H;C04138;C04138;BT1;20250402;636A8-5R7536;USD;201;201;;BAUMERT, NATHAN J;400 SOUTH CLINTON ST;Attn: Prosthetics;Iowa City;IA;52240;;;PLEASE SHIP TO *** FEDERAL BUILDING PROSTHETICS (121) 400 SOUTH CLINTON ST IOWA CITY, IA 52240 DEVICE TYPE: 20015 Yarl Wht shoes (1 palr) VENDOR: Orthofeet DESCRIPTION: 20015 Yari Wht PART/STYLE: 20015 SIZE: 14XW (4E) HCPC: A5500 QUANTITY: 1;006
D;20015XW140;;PR;1;WOOD, WILLIAM FILSON
D;ORIMXW140;;PR;1;WOOD, WILLIAM FILSON

H;C04523;C04523;BT1;20250402;655-R5B219;USD;201;201;;FOURNIER, JENNIE A;1500 Weiss Street;Attn: Prosthetics;Saginaw;MI;48602;;;;006
D;20014XW080;;PR;1;GRAY, MICHAEL
D;ORIMXW080;;PR;1;GRAY, MICHAEL

H;C04575;C04575;BT1;20250402;605-5V5500;USD;201;201;;NAVARRO, LUIS;11201 Benton Street;Attn: Prosthetics;Loma Linda;CA;92357;;;Please order shoes from OrthoFeet - L3221x 2 style: 20011 Yari Blk size 9.5M, one pair ship to VA LOMA LINDA PROSTHEICS Luis.Navarro2@va.gov (909) 801-5807 CC: EXP 10/25 not charge this purchase order more than once. Single use only. PO's need to be charged within 30 days of receipt or it will be canceled. If there is a delay on order, please notify immediately. If faxed twice in error, please Do not duplicate ** PLEASE CONFIRM YOU HAVE ORDER. THANK YOU ** Please send my invoices to Luis. Navarro2@va.gov;006
D;20011M095;;PR;1;BATTERSBY,  JAMES ROBERT
D;ORIMM095;;PR;1;BATTERSBY,  JAMES ROBERT

H;C03983;C03983;BT1;20250402;663-M54348;USD;201;201;;DAVIES, BRITNEY A;1660 South Columbian Way;Attn: Prosthetics;Seattle;WA;98108;;;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;892XW060;;PR;1;OVERSTREET, JD
D;ORIWXW060;;PR;1;OVERSTREET, JD

H;C03843;C03843;BT1;20250402;553-5RD346;USD;201;201;;MORINVIL, NAPHTALIE;4646 JOHN R. ST;ATTN: PROSTHETICS;Detroit;MI;48201;;;;006
D;410XXW070;;PR;1;YEE, DONALD
D;ORIMXW070;;PR;1;YEE, DONALD

H;C03931;C03931;BT1;20250402;523-5Q2771;USD;201;201;;CARROLL, JENNIFER A;150 South Hunting Ave;Attn: Prosthetics;Boston;MA;02130;;;*CC EXP 12/27 *** *billing zip code for CC - 02301 PURCHASING AGENT: jennifer.carroll1@va.gov CONTACT# 774-826-4519 FAX# 774-826-3762 PLEASE EMAIL THE INVOICE FOR THIS PURCHASE TO: jennifer.carroll1@va.gov THANK YOU;006
D;20219XW095;;PR;1;BOUCHER, JOHN CONSIDINE
D;ORIMXW095;;PR;1;BOUCHER, JOHN CONSIDINE

H;C03773;C03773;BT1;20250402;541-5L1799;USD;201;201;;KAYIJ, IHEMBA C;;;;;;;;PLEASE NOTIFY US OF BACKORDERED OR DISCONTINUED ITEMS IMMEDIATELY DELVIER TO:;006
D;611XW130;;PR;1;SKOTKO, STEPHAN J
D;ORIMXW130;;PR;1;SKOTKO, STEPHAN J
D;20218XW130;;PR;1;SKOTKO, STEPHAN J
D;ORIMXW130;;PR;1;SKOTKO, STEPHAN J

H;C03773;C03773;BT1;20250402;541-5L1849;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: ATTN: SORRENTINO, MARK Youngstown Multi-Specialty Outpatient Clinic 1815 Belmont Ave Youngstown, OH 44505 Ordering Information Vendor Name: Orthofeet Item Number: 617 Size: 12 wide Color: black Quantity: 1 pair HCPC: L3221 x 2 Price: ? Delivery Location: youngstown;006
D;617W120;;PR;1;HORVAT, ANDREW PETER
D;ORIMW120;;PR;1;HORVAT, ANDREW PETER

H;C03733;C03733;BT1;20250402;596A4-5Q5905;USD;201;201;;BARKER, KELLY ];2250 LEESTOWN RD.;ATTN: PROSTHETICS;Lexington;KY;40511;;;;006
D;617W105;;PR;1;STIDHAM,  LARRY ROBERT
D;ORIMW105;;PR;1;STIDHAM,  LARRY ROBERT
D;20019W105;;PR;1;STIDHAM,  LARRY ROBERT
D;ORIMW105;;PR;1;STIDHAM,  LARRY ROBERT

H;C03931;C03931;BT1;20250402;523-5Q2817;USD;201;201;;CARROLL, JENNIFER A;150 South Hunting Ave;Attn: Prosthetics;Boston;MA;02130;;;TO BE SHIPPED TO: JAMAICA PLAIN VA HOSPITAL (PROSTHETICS) ATTN: JP PROSTHETICS- FABRICATION LAB MIKE HIGGINS 150 SOUTH HUNTINGTON AVENUE BOSTON, MA. 02130 *** CC EXP 12/27 *** *billing zip code for CC - 02301 PURCHASING AGENT: jennifer.carroll1@va.gov CONTACT# 774-826-4519 FAX# 774-826-3762 PLEASE EMAIL THE INVOICE FOR THIS PURCHASE TO: jennifer.carroll1@va.gov THANK YOU;006
D;20017W110;;PR;1;ANTONELLIS,  MICHAEL E
D;ORIMXW110;;PR;1;ANTONELLIS,  MICHAEL E

