H;C04061;C04061;BT1;20250411;405-Q57845;USD;201;201;;BARRETT, SERENA L;215 N. Main Street;Attn: Prosthetics Department;White River Junction;VT;05009;;;;006
D;20011M090;;PR;1;KUBICKI,  THEODORE S
D;ORIMM090;;PR;1;KUBICKI,  THEODORE S

H;C03940;C03940;BT1;20250411;663-M55642;USD;201;201;;STEFAN, MYLA M;1660 South Columbian Way;;Seattle;WA;98108;;;Seattle VA Prosthetist: DOOLEY,NATHAN P Vendor: Orthofeet 22277 [Under 10K] A5500 Yari Blk/Grey 14 XW X 2 Yari Blk/Grey 14 4E + *** PLEASE PAY ATTENTION TO A DIFFERENT CC INFO .*** INVOICES & PROOF OF DELIVERY ARE CONTRACTUALLY REQUIRED BY YOUR ACCEPTANCE OF THIS DOCUMENT ** PLEASE NOTIFY ME WHEN ORDER WILL RECEIVE ** **** Valid for 30 Days ***** CREDIT CARD EXPIRATION: 8/22 EMAIL INVOICE TO myla.stefan@va.gov or fax invoice to 360-553-7609/PHONE 360-553-7652 NOTE: this is my billing information 5115 NE 82nd Ave, Vancouver WA 98662 Please Charge According to Contract Rate Or Fair Market Price. NO SUBSTITUTIONS, ALTERATIONS, ADDITIONS OR DELETIONS ARE AUTHORIZED TO THIS ORDER WITHOUT THE APPROVAL OF THE PURCHASING AGENT. SAMS VERIFIED INCLUDE PURCHASE ORDER NUMBER WHEN PROCESSING CHARGES. *** SHIP ALL ITEMS AT ONCE, NO PARTIAL SHIPMENTS (EXCEPT BACK ORDERS) *** *** ANY QUESTIONS PLEASE CONTACT CLINICIAN **;006
D;20011XW140;;PR;1;GISBORN,  THOMAS J
D;ORIMXW140;;PR;1;GISBORN,  THOMAS J

H;C03982;C03982;BT1;20250411;626-Q5J404;USD;201;201;;JACKSON, RAE GINA;1310 24th Ave. S.;Attn: Prosthetics Department;Nashville;TN;37212;;;SHIP TO NASHVILLE FOR INSPECTION;006
D;20011XW090;;PR;1;ISBELL, SETH THOMAS
D;ORIMXW090;;PR;1;ISBELL, SETH THOMAS

H;C04061;C04061;BT1;20250411;405-Q57844;USD;201;201;;BARRETT, SERENA L;215 N. Main Street;Attn: Prosthetics Department;White River Junction;VT;5009;;;;006
D;20011W080;;PR;1;GABRANSKI, LUDWIG JOHN
D;ORIMW080;;PR;1;GABRANSKI, LUDWIG JOHN

H;C04061;C04061;BT1;20250411;405-Q57845;USD;201;201;;BARRETT, SERENA L;215 N. Main Street;Attn: Prosthetics Department;White River Junction;VT;5009;;;;006
D;20011M090;;PR;1;KUBICKI, THEODORE S
D;ORIMM090;;PR;1;KUBICKI, THEODORE S

H;C03982;C03982;BT1;20250411;626-Q51407;USD;201;201;;JACKSON, RAE GINA;1310 24TH AVE S;ATTN: PROSTHETICS;Nashville;TN;37212;;;;006
D;20011XW090;;PR;1;SEBREE, TORIAN EUGENE
D;ORIMXW090;;PR;1;SEBREE, TORIAN EUGENE

H;C04185;C04185;BT1;20250411;518-Q5C061;USD;201;201;;BARRETT, SERENA L;200 Springs Road;Attn: Prosthetics;Bedford;MA;01730;;;;006
D;20011W105;;PR;1;COSTELLO, DAVID M
D;ORIMW105;;PR;1;COSTELLO, DAVID M

H;C03982;C03982;BT1;20250411;626-Q5J414;USD;201;201;;JACKSON, RAE GINA;1310 24TH AVE S;ATTN: PROSTHETICS;Nashville;TN;37212;;;SHIP TO NASHVILLE FOR INSPECTION;006
D;40012W090;;PR;1;JARRETT, LARRY FRED
D;ORIMW090;;PR;1;JARRETT, LARRY FRED

H;C03982;C03982;BT1;20250411;626-Q51417;USD;201;201;;JACKSON, RAE GINA;1310 24TH AVE S;ATTN: PROSTHETICS;Nashville;TN;37212;;;SHIP TO NASHVILLE FOR INSPECTION;006
D;20013XW130;;PR;1;FOSTER, WILLIE JAMES
D;ORIMXW130;;PR;1;FOSTER, WILLIE JAMES

H;C03782;C03782;BT1;20250411;636A6-Q5A394;USD;201;201;;WAGGONER, TERI SUE;3600 30TH STREET;ATTN:PROSTHETICS;Des Moines;IA;50310;;;PO EMAIL INVOICE/RECEIPT TO: teri PHONE ** NOTIFY IMMEDIATELY IN THE EVENT THERE IS A BACK ORDER;006
D;581W100;;PR;1;CHAMPLIN, LEWIS GARFIELD
D;ORIMW100;;PR;1;CHAMPLIN, LEWIS GARFIELD

H;C03866;C03866;BT1;20250411;515-5P4875;USD;201;201;;BYRD, KENNETH A;5500 ARMSTRONG RD;ATTN: PROSHETICS;Battle Creek;MI;49037;;;Reason for Request Shoe Type ()Plastizote (x)Orthopedic ( Jason Needs MODS ) (x)Athletic )Additional Plastizote insole )Men ( Jason Needs MODS ) Women (xx )Tie ( Jason Needs MODS ) ( )Velcro )Black (x )Brown )White Athletic only Width: ( )Medium, ( )Wide, (xx )Extra Wide Size: 11 XW Stock Number: Orthofeet- Please add 1 heal the RIGHT shoes';006
D;20162XW110;;PR;1;SWEET, ROBERT R
D;ORIMXW110;;PR;1;SWEET, ROBERT R
D;20219XW110;;PR;1;SWEET, ROBERT R
D;ORIMXW110;;PR;1;SWEET, ROBERT R

H;C04538;C04538;BT1;20250411;757-5R2789;USD;201;201;;SHANKS, FREDERICK D;420 N. James Road;Attn: Prosthetics Department;Columbus;OH;43219;;;Prosthetist: ZAMORA,FRANCISCO G Vendor: Orthofeet 8870 L3221 81105-M-11.5 X 2 Orthofeet Wander Hands-Free Women's Casual Shoe, Black, 11.5 medium(B) x1 pair ******************* Veteran is to receive 1 pair of Orthofeet Women's Hands-Free shoes in size 11.5 medium(B) to be delivered to COLUMBUS VA PROSTHETICS;006
D;81105M115;;PR;1;CHAPPELL, ANNETTA LYNN
D;ORIWM115;;PR;1;CHAPPELL, ANNETTA LYNN

H;C04155;C04155;BT1;20250411;523-5Q3561;USD;201;201;;MONTEIRO, JACINTA;150 South Huntington Ave.;Attn: Prosthetics Department;Boston;MA;02130;;;from orthofeet ****************** MAIL TO JAMAICA PLAIN VA 150 S. HUNTINGTON AVE BOSTON MA 02130 ROOM CB-4 FABRICATION LAB;006
D;481W100;;PR;1;ROUNTREE,  BRIAN DOUGLAS
D;ORIMW100;;PR;1;ROUNTREE,  BRIAN DOUGLAS

H;C03733;C03733;BT1;20250411;596A4-5Q6630;USD;201;201;;BARKER, KELLY ];2250 Leestown Road;ATTN: PROSTHETICS;Lexington;KY;40511;;;;006
D;20011W115;;PR;1;HARVILLE,  GARRY WAYNE
D;ORIMW115;;PR;1;HARVILLE,  GARRY WAYNE
D;20014W115;;PR;1;HARVILLE,  GARRY WAYNE
D;ORIMW115;;PR;1;HARVILLE,  GARRY WAYNE

H;C04155;C04155;BT1;20250411;523-5Q3567;USD;201;201;;MONTEIRO, JACINTA;940 BELMONT ST;Attn: Prosthetics Department;Brockton;MA;02301;;;MAIL: TO BROCKTON VA 940 BELMONT ST BDG 3 BROCKTON MA 02301 att peter mullarkey;006
D;20013W110;;PR;1;OKEEFE, KEVIN GEORGE
D;ORIMW110;;PR;1;OKEEFE, KEVIN GEORGE

H;C03730;C03730;BT1;20250411;620A4-5U6945;USD;201;201;;BREUSCH, NICOLE J;41 CASTLE POINT RD;ATTN: RECEIVING DEPT BLDG 44;Wappingers Falls;NY;12590;;;;006
D;491W120;;PR;1;TALUTTO,  JOHN J
D;ORIMW120;;PR;1;TALUTTO,  JOHN J
D;20011W120;;PR;1;TALUTTO,  JOHN J
D;ORIMW120;;PR;1;TALUTTO,  JOHN J

H;C03874;C03874;BT1;20250411;552-N59516;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;80049M090;;PR;1;ROHMAN, MELANIE L
D;ORIWM090;;PR;1;ROHMAN, MELANIE L
D;80014M090;;PR;1;ROHMAN, MELANIE L
D;ORIWM090;;PR;1;ROHMAN, MELANIE L

H;C04563;C04563;BT1;20250411;757-5R2803;USD;201;201;;RANKIN, SARAH M;420 N. JAMES RD;Attn: Prosthetics Department;Columbus;OH;43219;;;;006
D;20014XW115;;PR;1;EPLIN, TERRY WAYNE
D;ORIMXW115;;PR;1;EPLIN, TERRY WAYNE
D;20021XW115;;PR;1;EPLIN, TERRY WAYNE
D;ORIMXW115;;PR;1;EPLIN, TERRY WAYNE

H;C03773;C03773;BT1;20250411;541-5L3423;USD;201;201;;KAYIJ, IHEMBA C;1260 Monroe Ave;Attn: Prosthetics Department;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;006
D;20017W120;;PR;1;SHUMAN, ROBERT HOWARD
D;ORIMW120;;PR;1;SHUMAN, ROBERT HOWARD

H;C03931;C03931;BT1;20250411;523-5Q3575;USD;201;201;;CARROLL, JENNIFER A;150 South Hunting Ave;Attn: Prosthetics;Boston;MA;02130;;;Order # (if applicable): Excluded: No TO BE SHIPPED TO: JAMAICA PLAIN VA HOSPITAL (PROSTHETICS) ATTN: JP 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;20218W100;;PR;1;BROWN, JAMES T
D;ORIMW100;;PR;1;BROWN, JAMES T

H;C04197;C04197;BT1;20250411;518-Q5C664;USD;201;201;;SULLIVAN, JENNIFER ARLENE;200 Springs Road;Attn: Prosthetics;Bedford;MA;01730;;;;006
D;20218M110;;PR;1;MARINO,  JOHN ALBERT
D;ORIMM110;;PR;1;MARINO,  JOHN ALBERT

H;C03874;C03874;BT1;20250411;552-N59527;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;20019M115;;PR;1;HAUER, DAVID BARRY
D;ORIMM115;;PR;1;HAUER, DAVID BARRY
D;20217M115;;PR;1;HAUER, DAVID BARRY
D;ORIMM115;;PR;1;HAUER, DAVID BARRY

H;C03737;C03737;BT1;20250411;596A4-5Q6666;USD;201;201;;LADANYI, ANTHONY;2250 Leestown Road;ATTN: PROSTHETICS;Lexington;KY;40511;;;;006
D;20017W120;;PR;1;BOURNE,  GARY ARTHUR II
D;ORIMW120;;PR;1;BOURNE,  GARY ARTHUR II
D;488W120;;PR;1;BOURNE,  GARY ARTHUR II
D;ORIMW120;;PR;1;BOURNE,  GARY ARTHUR II

H;C03886;C03886;BT1;20250411;506-P5A914;USD;201;201;;SETHI, SHIKHA;2215 FULLER RD;ATTN: PROSTHETICS;Ann Arbor;MI;48105;;;;006
D;410M140;;PR;1;ROLLINS,  REUBEN LEWIS JR
D;ORIMM140;;PR;1;ROLLINS,  REUBEN LEWIS JR

H;C04062;C04062;BT1;20250411;632-U59485;USD;201;201;;CROSS, LINDA J;79 Middleville Road;Attn: Prosthetics Bldg. 200;Northport;NY;11768;;;;006
D;20011W120;;PR;1;FLEISCHHAUER, RONALD
D;ORIMW120;;PR;1;FLEISCHHAUER, RONALD
D;20220W120;;PR;1;FLEISCHHAUER, RONALD
D;ORIMW110;;PR;1;FLEISCHHAUER, RONALD

H;C03395;C03395;BT1;20250411;437-5R0111;USD;201;201;;NEWTON, MICHAEL R;;;;;;;;Credit Card Expiration Date: 12/27, CVV: 837. Please email invoice and proof of delivery to: michael.newton@va.gov. Note: This is a federal purchase card and is tax-exempt from local, state, and federal taxes. ** Please note the DATE REQUIRED located in BOX 6 and email the above authorizer to request an extension in authorization if there is a delay in fulfillment/backorder. Thank you.;006
D;20021M120;;PR;1;LESMANN, LAWRENCE DUANE
D;ORIMM120;;PR;1;LESMANN, LAWRENCE DUANE
D;20017M120;;PR;1;LESMANN, LAWRENCE DUANE
D;ORIMM120;;PR;1;LESMANN, LAWRENCE DUANE

H;C03843;C03843;BT1;20250411;553-R5G227;USD;201;201;;MORINVIL, NAPHTALIE;4646 JOHN R. ST;ATTN: PROSTHETICS;Detroit;MI;48201;;;;006
D;20011XW115;;PR;1;WILLIAMS, STANLEY
D;ORIMXW115;;PR;1;WILLIAMS, STANLEY
D;20016XW115;;PR;1;WILLIAMS, STANLEY
D;ORIMXW115;;PR;1;WILLIAMS, STANLEY

H;C03735;C03735;BT1;20250411;596-5Q6691;USD;201;201;;DIXON, PENELOPE.L;2250 Leestown Road;Attn: Prosthetics Bldg. 1 Room 24;Lexington;KY;40511;;;;006
D;672XW110;;PR;1;GOFF, JESSIE EARL
D;ORIMXW110;;PR;1;GOFF, JESSIE EARL

