H;C03833;C03833;BT1;20250417;460-5R0331;USD;201;201;;BUCHANAN, JACLYN M;1601 KIRKWOOD HWY;ATTN: PROSTHETICS;Wilmington;DE;19805;;;;006
D;20022W095;;PR;1;MUMFORD, TRACY DEAN

H;C03833;C03833;BT1;20250417;460-5R0342;USD;201;201;;BUCHANAN, JACLYN M;1601 KIRKWOOD HWY;ATTN: PROSTHETICS;Wilmington;DE;19805;;;;006
D;20162W140;;PR;1;WESBY, KEVIN WAYFIELD

H;C04538;C04538;BT1;20250417;757-5R3081;USD;201;201;;SHANKS, FREDERICK D;420 N. JAMES RD;Attn: Prosthetics Department;Columbus;OH;43219;;;;006
D;468W110;;PR;1;STCLAIR, SCOTT J
D;ORIMW110;;PR;1;STCLAIR, SCOTT J
D;469W110;;PR;1;STCLAIR, SCOTT J
D;ORIMW110;;PR;1;STCLAIR, SCOTT J

H;C03833;C03833;BT1;20250417;460-5R0298;USD;201;201;;BUCHANAN, JACLYN M;1601 KIRKWOOD HWY;ATTN: PROSTHETICS;Wilmington;DE;19805;;;;006
D;20026M090;;PR;1;CRUZ, OSVALDO
D;28003M090;;PR;1;CRUZ, OSVALDO

H;C03901;C03901;BT1;20250417;550-5P8304;USD;201;201;;WRIGHT, KYLE ALAN;1900 East Main Street;Attn: Prosthetics Department;Danville;IL;61832;;;;006
D;469M110;;PR;1;MOSLEY,  NORRIS RAY
D;TDIMM110;;PR;1;MOSLEY,  NORRIS RAY

H;C03996;C03996;BT1;20250417;636A8-5R8971;USD;201;201;;TUETKEN, TRAVIS W;;;;;;;;;006
D;483XW090;;PR;1;EDLER, TODD ALLEN SR
D;ORIMXW090;;PR;1;EDLER, TODD ALLEN SR

H;C04459;C04459;BT1;20250417;636A4-5PE878;USD;201;201;;KIMBLE, PAUL M;2201 N. Broadwell Ave.;Attn: Prosthetics Department;Grand Island;NE;68803;;;;006
D;40032XW105;;PR;1;PENTON, WILLIAM GENE
D;ORIMXW105;;PR;1;PENTON, WILLIAM GENE

H;C04127;C04127;BT1;20250417;671-5Q6301;USD;201;201;;TOLLE, SUZANNE M;3600 Memorial Blvd.;Attn: Prosthetics Department;Kerrville;TX;78028;;;This is a bona fide need for FY25 and is subject to the availability of FY25 funds. PLEASE SHIP ALL ITEMS TO ADDRESS BELOW: QTY: 1 PAIR ITEM: 20013 YARI GRAY 10D DIABETIC SHOES HCPC: A5500 QTY: 2 PAIR ITEM: REPLACEMENTS INSOLES SZ 10D HCPC: L3001 SHIP TO: S.T.V.H.C.S (VA) KMC PODIATRY CLINIC 11C 3600 MEMORIAL BLVD. KERRVILLE,TX, 78028 CC ENDING: 3973 CVV: 666 CC EXP: 8/25 BILLING ADDRESS: Prosthetics 121 DEPARTMENT OF VETERAN AFFAIRS-CPU UNIT 1201 E. 9TH ST. BUILDING 10 BONHAM, TEXAS 75418-4059 WITH QUESTIONS ABOUT THIS ORDER PLEASE CONTACT SUZANNE TOLLE AT 903-583-6634 E MAIL invoice to: SUZANNE.TOLLE@VA.GOV -OR- FAX invoice to: CPU VAMC PROSTHETICS (671/121), ATTN: SUZANNE TOLLE FAX # 903-486-9134 ORTHOFEET, INC Active Registration Unique Entity ID R 38DUQP DHJ B1 CAGE Code 33XC5 Physical Address;006
D;20013M100;;PR;1;HEAP,  WILLIAM CHARLES
D;ORIMM100;;PR;1;HEAP,  WILLIAM CHARLES
D;OFGMM100;;PR;1;HEAP,  WILLIAM CHARLES

H;C03893;C03893;BT1;20250417;618-M51641;USD;201;201;;WOLLIN, NICOLE L;One Veterans Drive;Attn: Prosthetics Department;Minneapolis;MN;55417;;;Please email paid invoice to nicole.wollin@va.gov;006
D;20017XW100;;PR;1;RICE, CHARLES FRANCIS
D;ORIMXW100;;PR;1;RICE, CHARLES FRANCIS

H;C03893;C03893;BT1;20250417;618-M51646;USD;201;201;;WOLLIN, NICOLE L;One Veterans Drive;Attn: Prosthetics Department;Minneapolis;MN;55417;;;Please email paid invoice to nicole.wollin@va.gov;006
D;616W150;;PR;1;LOCKETZ, RICHARD DAVID
D;ORIMW150;;PR;1;LOCKETZ, RICHARD DAVID

H;C04079;C04079;BT1;20250417;531-Q56998;USD;201;201;;LUKASIK, BEVERLY SCOTT RIEDER;500 W. Fort Street;Attn: Prosthetics Department;Boise;ID;83702;;;No substitutions, alterations, additions or deletions are authorized to this order without the authorization of the Purchasing Agent Justification- Medically Prescribed For Open Market Purchases: Title 38, Section 8123 Clause must be referenced as follows: Sole Source Purchase per Title 38, Section 8123, Procurement of Prosthetic Appliances. The Secretary may procure prosthetic appliances and necessary services required in the fitting, supplying, and training and use of prosthetic appliances manner as the Secretary may determine to be proper without regard to any other provision of law. Please e-mail invoices to Beverly.Lukasik@va.gov;006
D;22003M095;;PR;1;HAWKINS, RONALD N
D;ORIMM095;;PR;1;HAWKINS, RONALD N

H;C03844;C03844;BT1;20250417;553-R5G611;USD;201;201;;PARHAM, THIAS;4646 JOHN R. ST;ATTN: PROSTHETICS;Detroit;MI;48201;;;;006
D;488W130;;PR;1;FLETCHER, JERRY DWAYNE
D;ORIMW130;;PR;1;FLETCHER, JERRY DWAYNE
D;489W130;;PR;1;FLETCHER, JERRY DWAYNE
D;ORIMW130;;PR;1;FLETCHER, JERRY DWAYNE

H;C03841;C03841;BT1;20250417;526-U59260;USD;201;201;;REMBERT, MARKES;130 W KINGSBRIDGE RD;ATTN: PROSTHETICS;Bronx;NY;10468;;;VA 718 584 9000 x 5556 F-718 741 4569 Card exp:01/26 Cvv-329;006
D;525M140;;PR;1;COLEMAN,  TROY WILLIAM
D;ORIMM140;;PR;1;COLEMAN,  TROY WILLIAM

H;C03841;C03841;BT1;20250417;526-U59073;USD;201;201;;REMBERT, MARKES;130 W KINGSBRIDGE RD;ATTN: PROSTHETICS;Bronx;NY;10468;;;VA contact markes.rembert@va.gov 718 584 9000 x 5556 F-718 741 4569 Card exp:01/26 Cvv-329;006
D;410W075;;PR;1;PRATO, JAMES J
D;ORIMW075;;PR;1;PRATO, JAMES J

H;C03841;C03841;BT1;20250417;526-U59067;USD;201;201;;REMBERT, MARKES;130 W KINGSBRIDGE RD;ATTN: PROSTHETICS;Bronx;NY;10468;;;VA contact markes.rembert@va.gov 718 584 9000 x 5556 F-718 741 4569 Card;006
D;20013XW115;;PR;1;MORALES, DANIEL JR
D;ORIMXW115;;PR;1;MORALES, DANIEL JR

H;C03845;C03845;BT1;20250417;553-R5G577;USD;201;201;;ROBERTSON, CODY;4646 JOHN R. ST;ATTN: PROSTHETICS;Detroit;MI;48201;;;;006
D;20011XXW110;;PR;1;DOWNING,  JAMES CORDY
D;ORIMXW110;;PR;1;DOWNING,  JAMES CORDY
D;410XXW110;;PR;1;DOWNING,  JAMES CORDY
D;ORIMXW110;;PR;1;DOWNING,  JAMES CORDY

H;C03840;C03840;BT1;20250417;526-U59357;USD;201;201;;RANDALL, JAYME;130 W KINGSBRIDGE RD;ATTN: PROSTHETICS;Bronx;NY;10468;;;;006
D;649W100;;PR;1;MENDEZ,  ALEX
D;ORIMW100;;PR;1;MENDEZ,  ALEX

H;C04206;C04206;BT1;20250417;405-Q58083;USD;201;201;;PETROLINI, KRISTOPHER JOHN;215 N. Main Street;Attn: Prosthetics;White River Junction;VT;05009;;;;006
D;20011W120;;PR;1;ATHORNE, TIMOTHY AL
D;ORIMW120;;PR;1;ATHORNE, TIMOTHY AL

H;C04285;C04285;BT1;20250417;689-5Q4492;USD;201;201;;COWAN, JUSTIN M;555 Willard Ave;Attn: Prosthetics Department;Newington;CT;06111;;;;006
D;20017XW120;;PR;1;CHAMBERLAND, ROLAND M
D;ORIMXW120;;PR;1;CHAMBERLAND, ROLAND M

