H;C03882;C03882;BT1;20250417;693-5R0082;USD;201;201;;MARICH, CATHERINE;1111 EAST END BLVD.;ATTN: PROSTHETICS;Wilkes Barre;PA;18711;;;;006
D;20017M30;;PR;1;SWEENEY, RICHARD E
D;ORIMM30;;PR;1;SWEENEY, RICHARD E

H;C03983;C03983;BT1;20250417;663-M53218;USD;201;201;;DAVIES, BRITNEY A;1660 South Columbian Way;Attn: Prosthetics Department;Seattle;WA;98108;;;Seattle VA Prosthetist: DOOLEY,NATHAN P 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;20016W110;;PR;1;EINARSON, EDMOND B
D;ORIMW110;;PR;1;EINARSON, EDMOND B
D;20018W110;;PR;1;EINARSON, EDMOND B
D;ORIMW110;;PR;1;EINARSON, EDMOND B

H;C03914;C03914;BT1;20250417;528A8-Q56993;USD;201;201;;FEDORIW, GARRETT;113 Holland Avenue;Attn: Prosthetics Department;Albany;NY;12208;;;;006
D;20217M095;;PR;1;OGDEN, THOMAS GEORGE
D;ORIMM095;;PR;1;OGDEN, THOMAS GEORGE

H;C03934;C03934;BT1;20250417;561-V53722;USD;201;201;;SPANO, CHRISTINA;385 Tremont Ave;Attn: Prosthetics Department;East Orange;NJ;07018;;;;006
D;20017W090;;PR;1;SCHURTER, GLENN R
D;ORIMW090;;PR;1;SCHURTER, GLENN R
D;489W090;;PR;1;SCHURTER, GLENN R
D;ORIMW090;;PR;1;SCHURTER, GLENN R

H;C04132;C04132;BT1;20250417;548-5Q5391;USD;201;201;;CARRIO ATFUCCI, CARLOS;7305 N. Military Trail;;West Palm Beach;FL;33410;;;;006
D;20018W120;;PR;1;LEWIS, EDWARD FREDERICK
D;ORIMW120;;PR;1;LEWIS, EDWARD FREDERICK
D;468W120;;PR;1;LEWIS, EDWARD FREDERICK
D;ORIMW120;;PR;1;LEWIS, EDWARD FREDERICK

H;C04209;C04209;BT1;20250417;666-U54614;USD;201;201;;STEPHENSON, ABIGAIL R;1898 Fort Road;Attn: Prosthetics;Sheridan;WY;82801;;;;006
D;20018W105;;PR;1;FREED, BOYD IVAN
D;ORIMW105;;PR;1;FREED, BOYD IVAN

H;C04123;C04123;BT1;20250417;607-Q57308;USD;201;201;;LABAGNARA, MICHELLE H;2500 Overlook Terrace;Attn: Prosthetics Department;Madison;WI;53705;;;;006
D;22011M130;;PR;1;OLSON,  CHARLES G
D;ORIMM130;;PR;1;OLSON,  CHARLES G

H;C03398;C03398;BT1;20250417;578-5Q0207;USD;201;201;;MCCOY, WENDY D;500 S 5th Avenue;Attn: Prosthetics Department;Hines;IL;60141;;;;006
D;20021M105;;PR;1;MATIAS,  DANIEL
D;ORIMM105;;PR;1;MATIAS,  DANIEL

H;C04123;C04123;BT1;20250417;607-Q57309;USD;201;201;;LABAGNARA, MICHELLE H;2500 OVERLOOK TERR;Attn: Prosthetics Department;Madison;WI;53705;;;;006
D;20218W115;;PR;1;JORDAN,  LOUIS ERI
D;ORIMW115;;PR;1;JORDAN,  LOUIS ERI

H;C03914;C03914;BT1;20250417;528A8-Q57638;USD;201;201;;FEDORIW, GARRETT;113 Holland Avenue;Attn: Prosthetics Department;Albany;NY;12208;;;;006
D;40011M100;;PR;1;CROSS, GREGORY M
D;ORIMM100;;PR;1;CROSS, GREGORY M

H;C03843;C03843;BT1;20250417;553-R5G632;USD;201;201;;MORINVIL, NAPHTALIE;4646 JOHN R. ST;ATTN: PROSTHETICS;Detroit;MI;48201;;;;006
D;20219M110;;PR;1;BURKELL, MICHAEL ANTHONY
D;ORIMM110;;PR;1;BURKELL, MICHAEL ANTHONY
D;20219M110;;PR;1;BURKELL, MICHAEL ANTHONY
D;ORIMM110;;PR;1;BURKELL, MICHAEL ANTHONY

H;C03773;C03773;BT1;20250417;541-5L4397;USD;201;201;;KAYIJ, IHEMBA C;10701 EAST BLVD;Attn: Prosthetics Department;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;006
D;617XW100;;PR;1;LYONS, ERROL NATHANIEL
D;ORIMXW100;;PR;1;LYONS, ERROL NATHANIEL
D;20013XW100;;PR;1;LYONS, ERROL NATHANIEL
D;ORIMXW100;;PR;1;LYONS, ERROL NATHANIEL

H;C03983;C03983;BT1;20250417;663-M53218;USD;201;201;;DAVIES, BRITNEY A;1660 South Columbian Way;Attn: Prosthetics Department;Seattle;WA;98108;;;Seattle VA Prosthetist: DOOLEY,NATHAN P 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;20016W110;;PR;1;EINARSON, EDMOND B
D;ORIMW110;;PR;1;EINARSON, EDMOND B
D;20018W110;;PR;1;EINARSON, EDMOND B
D;ORIMW110;;PR;1;EINARSON, EDMOND B

H;C03398;C03398;BT1;20250417;578-5Q0216;USD;201;201;;MCCOY, WENDY D;5000 S 5TH AVENUE;Attn: Prosthetics Department;Hines;IL;60141;;;Send to: Hines VA Hospital - Prosthetics Department Building 228, Room 5055;006
D;646M110;;PR;1;BUCKMAN,  PAUL ARTHUR
D;ORIMM110;;PR;1;BUCKMAN,  PAUL ARTHUR

H;C04078;C04078;BT1;20250417;573-J57798;USD;201;201;;PORTER, BRENDA;1601 SW Archer Road;Attn: Prosthetics Department;Gainesville;FL;32608;;;CVV: 414. Brenda Porter PLEASE SEND CONFIRMATION and/or INVOICE TO: Email: BRENDA.PORTER2@VA.GOV PHONE# 904-470- 6900 EXT. 531495;006
D;616M110;;PR;1;SWILLEY,  JIMMIE C
D;ORIMM110;;PR;1;SWILLEY,  JIMMIE C
D;618M110;;PR;1;SWILLEY,  JIMMIE C
D;ORIMM110;;PR;1;SWILLEY,  JIMMIE C

H;C03931;C03931;BT1;20250417;523-5Q3967;USD;201;201;;CARROLL, JENNIFER A;150 South Hunting Ave;Attn: Prosthetics;Boston;MA;02130;;;JAMAICA PLAIN VA HOSPITAL (PROSTHETICS) ATTN: JP PROSTHETICS- JEFFERY 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;20011M105;;PR;1;YELLE, CRAIG LOUIS
D;ORIMM105;;PR;1;YELLE, CRAIG LOUIS

H;C03398;C03398;BT1;20250417;578-5Q0220;USD;201;201;;MCCOY, WENDY D;5000 S 5TH AVENUE;Attn: Prosthetics Department;Hines;IL;60141;;;Send to: Hines VA Hospital - Prosthetics Department Building 228, Room 5055;006
D;20011W090;;PR;1;RANDLE, EDDIE B
D;ORIMW090;;PR;1;RANDLE, EDDIE B

H;C03866;C03866;BT1;20250417;515-5P5384;USD;201;201;;BYRD, KENNETH A;5500 ARMSTRONG RD;ATTN: PROSHETICS;Battle Creek;MI;49037;;;Reason For Request: SHOES: Is this request for SC: ( )Yes, (x )No Prosthetic Request for Shoes: Reason for Request Shoe Type ()Plastizote (x)Orthopedic (x)Athletic )Additional Plastizote insole (xx )Men Women (xx )Tie )Velcro x)Grey x)Brown )White Athletic only Width: xx)Medium, )Wide, )Extra Wide;006
D;20217M100;;PR;1;WALTERS, ROBERT LEE
D;ORIMM100;;PR;1;WALTERS, ROBERT LEE
D;20013W100;;PR;1;WALTERS, ROBERT LEE
D;ORIMM100;;PR;1;WALTERS, ROBERT LEE

H;C04599;C04599;BT1;20250417;550-5P8330;USD;201;201;;DAVIS, JASMINE M;1900 E MAIN ST;ATTN: PROSTHETICS;Danville;IL;61832;;;;006
D;20218M115;;PR;1;MOORE, WILLIE JAMES
D;ORIMM115;;PR;1;MOORE, WILLIE JAMES

H;C03840;C03840;BT1;20250417;526-U59382;USD;201;201;;RANDALL, JAYME;130 W KINGSBRIDGE RD;ATTN: PROSTHETICS;Bronx;NY;10468;;;;006
D;653W105;;PR;1;HELLER,  STEVEN E
D;ORIMW105;;PR;1;HELLER,  STEVEN E

H;C03874;C03874;BT1;20250417;552-N59807;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;20022W080;;PR;1;BRYARS, HAROLD WESLEY
D;ORIMW080;;PR;1;BRYARS, HAROLD WESLEY
D;20016W080;;PR;1;BRYARS, HAROLD WESLEY
D;ORIMW080;;PR;1;BRYARS, HAROLD WESLEY

H;C04055;C04055;BT1;20250417;636A8-5R9050;USD;201;201;;GARDINER, JORDAN L;400 South Clinton St;Attn: Prosthetics Department;Iowa City;IA;52240;;;PLEASE DO NOT SHIP TO ICVA PLEASE SHIP TO: IOWA CITY FEDERAL BUILDING ATTN: PROSTHETICS 400 SOUTH CLINTON ST IOWA CITY, IA 52240;006
D;20011W130;;PR;1;HORSFALL, PAUL JOHN
D;ORIMW130;;PR;1;HORSFALL, PAUL JOHN

H;C03818;C03818;BT1;20250417;548-5Q5421;USD;201;201;;FERGUSON, DENISE DIANNE;7305 N MILITARY TRAIL;ATTN PROSTHETICS;West Palm Beach;FL;33410;;;;006
D;20017M105;;PR;1;DUNN, THOMAS D
D;ORIMM105;;PR;1;DUNN, THOMAS D
D;428M105;;PR;1;DUNN, THOMAS D
D;ORIMM105;;PR;1;DUNN, THOMAS D

H;C03901;C03901;BT1;20250417;550-5P8332;USD;201;201;;WRIGHT, KYLE ALAN;1900 E MAIN ST;ATTN: PROSTHETICS;Danville;IL;61832;;;;006
D;483W095;;PR;1;FLOYD, LAWRENCE EDWARD SR
D;TDIMW095;;PR;1;FLOYD, LAWRENCE EDWARD SR

H;C03840;C03840;BT1;20250417;526-U59386;USD;201;201;;RANDALL, JAYME;130 W KINGSBRIDGE RD;ATTN: PROSTHETICS;Bronx;NY;10468;;;;006
D;427W090;;PR;1;WILLIAMS,  ANTHONY HENRY
D;ORIMW090;;PR;1;WILLIAMS,  ANTHONY HENRY

H;C04407;C04407;BT1;20250417;676-Q55399;USD;201;201;;HIGBEE, VICTORIA J;500 E. Veterans Street;Attn: Prosthetics Department;Tomah;WI;54660;;;;006
D;20220M120;;PR;1;KONOPACKY, WILLIAM
D;ORIMM120;;PR;1;KONOPACKY, WILLIAM

H;C04599;C04599;BT1;20250417;550-5P8334;USD;201;201;;DAVIS, JASMINE M;1900 E MAIN ST;ATTN: PROSTHETICS;Danville;IL;61832;;;;006
D;20018W105;;PR;1;FAWLEY, MARK TODD
D;ORIMW105;;PR;1;FAWLEY, MARK TODD

H;C04523;C04523;BT1;20250417;655-R5C844;USD;201;201;;FOURNIER, JENNIE A;1500 Weiss Street;Attn: Prosthetics Department;Saginaw;MI;48602;;;;006
D;20161M090;;PR;1;COULTER, RICHARD W
D;ORIMM090;;PR;1;COULTER, RICHARD W
D;20025M090;;PR;1;COULTER, RICHARD W
D;ORIMM090;;PR;1;COULTER, RICHARD W

H;C03737;C03737;BT1;20250417;596A4-5Q7186;USD;201;201;;LADANYI, ANTHONY;2250 LEESTOWN ROAD;ATTN: PROSTHETICS;Lexington;KY;40511;;;;006
D;672M095;;PR;1;MILES, HENRY DIRK
D;ORIMM095;;PR;1;MILES, HENRY DIRK

H;C03879;C03879;BT1;20250417;693-5R1159;USD;201;201;;AYERS, KIMBERLY ANNE;1111 EAST END BLVD.;ATTN: PROSTHETICS;Wilkes Barre;PA;18711;;;;006
D;20026M090;;PR;1;WARRICK, CHARLES
D;ORIMM090;;PR;1;WARRICK, CHARLES
D;ORIMM090;;PR;1;WARRICK, CHARLES
D;ORIMM090;;PR;1;WARRICK, CHARLES

H;C03937;C03937;BT1;20250417;561-V55727;USD;201;201;;BROWN, NIKITA E;385 Tremont Ave;Attn: Prosthetics Department;East Orange;NJ;07018;;;;006
D;581W090;;PR;1;RIVERA, JOSE E
D;ORIMW090;;PR;1;RIVERA, JOSE E

H;C04197;C04197;BT1;20250417;518-Q5C752;USD;201;201;;SULLIVAN, JENNIFER ARLENE;200 Springs Road;Attn: Prosthetics;Bedford;MA;01730;;;;006
D;20014W105;;PR;1;ROWE, RICHARD JOSEPH JR
D;ORIMW105;;PR;1;ROWE, RICHARD JOSEPH JR

H;C03874;C03874;BT1;20250417;552-N59809;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;20216M120;;PR;1;TRUSSELL, EARL D
D;ORIMM120;;PR;1;TRUSSELL, EARL D
D;20217M120;;PR;1;TRUSSELL, EARL D
D;ORIMM120;;PR;1;TRUSSELL, EARL D

H;C03883;C03883;BT1;20250417;693-5R1175;USD;201;201;;MORGAN, ARTHUR DOUGLAS;1111 EAST END BLVD.;ATTN: PROSTHETICS;Wilkes Barre;PA;18711;;;;006
D;614W120;;PR;1;SENCHAK, ROBERT DANIEL JR
D;ORIMW120;;PR;1;SENCHAK, ROBERT DANIEL JR

H;C04280;C04280;BT1;20250417;405-Q58126;USD;201;201;;RACKLEY, SEAN S;215 N. Main Street;Attn: Prosthetics Department;White River Junction;VT;05009;;;;006
D;20013XW130;;PR;1;HIER, MARSHALL D
D;ORIMXW130;;PR;1;HIER, MARSHALL D

H;C03840;C03840;BT1;20250417;526-U59403;USD;201;201;;RANDALL, JAYME;130 W KINGSBRIDGE RD;ATTN: PROSTHETICS;Bronx;NY;10468;;;;006
D;20011M110;;PR;1;JONES, WILLIE JR
D;ORIMM110;;PR;1;JONES, WILLIE JR

H;C03866;C03866;BT1;20250417;515-5P5401;USD;201;201;;BYRD, KENNETH A;5500 ARMSTRONG RD;ATTN: PROSHETICS;Battle Creek;MI;49037;;;Reason for Request Shoe Type ()Plastizote (xx)Orthopedic ()Athletic )Additional Plastizote insole )Men )Women (xx )Tie )Velcro Black )Brown )White Athletic only Width: )Medium, (xx )Wide, )Extra Wide 10 W;006
D;25002W100;;PR;1;REED, STEVEN MARK
D;ORIMW100;;PR;1;REED, STEVEN MARK
D;492W100;;PR;1;REED, STEVEN MARK
D;ORIMW100;;PR;1;REED, STEVEN MARK

H;C04280;C04280;BT1;20250417;405-Q58127;USD;201;201;;RACKLEY, SEAN S;215 N. Main Street;Attn: Prosthetics Department;White River Junction;VT;05009;;;;006
D;20011XW105;;PR;1;MCLANE, JAMES VINCENT
D;ORIMXW105;;PR;1;MCLANE, JAMES VINCENT

H;C04538;C04538;BT1;20250417;757-5R3162;USD;201;201;;SHANKS, FREDERICK D;420 N. James Road;Attn: Prosthetics Department;Columbus;OH;43219;;;;006
D;20016W095;;PR;1;CHAMBERS, RONELL LENSLEY
D;ORIMW095;;PR;1;CHAMBERS, RONELL LENSLEY
D;20013W095;;PR;1;CHAMBERS, RONELL LENSLEY
D;ORIMW095;;PR;1;CHAMBERS, RONELL LENSLEY

H;C04185;C04185;BT1;20250417;518-Q5C757;USD;201;201;;BARRETT, SERENA L;209 Summer Street;Attn: Prosthetics;Haverhill;MA;01830;;;;006
D;20017W085;;PR;1;GRAVEL, GEORGES JOSEPH
D;ORIMW085;;PR;1;GRAVEL, GEORGES JOSEPH

