H;C03776;C03776;BT1;20250421;542-R56568;USD;201;201;;CURRY, CHARLI;1400 BLACKHORSE HILL ROAD;ATTN: PROSTHETICS;Coatesville;PA;19320;;;;006
D;20017W130;;PR;1;SCHEALER, DOUGLAS A
D;ORIMW130;;PR;1;SCHEALER, DOUGLAS A

H;C03844;C03844;BT1;20250421;553-R5G772;USD;201;201;;PARHAM, THIAS;4646 JOHN R. ST;ATTN: PROSTHETICS;Detroit;MI;48201;;;;006
D;585W115;;PR;1;JACKSON, CARL RENARD
D;TDIMW115;;PR;1;JACKSON, CARL RENARD
D;581W115;;PR;1;JACKSON, CARL RENARD
D;TDIMW115;;PR;1;JACKSON, CARL RENARD

H;C03844;C03844;BT1;20250421;553-R5G773;USD;201;201;;PARHAM, THIAS;4646 JOHN R. ST;ATTN: PROSTHETICS;Detroit;MI;48201;;;;006
D;20019M110;;PR;1;THOMPSON, ARTHUR J
D;ORIMM110;;PR;1;THOMPSON, ARTHUR J
D;20015M110;;PR;1;THOMPSON, ARTHUR J
D;ORIMM110;;PR;1;THOMPSON, ARTHUR J

H;C03843;C03843;BT1;20250421;553-R5G811;USD;201;201;;MORINVIL, NAPHTALIE;4646 JOHN R. ST;ATTN: PROSTHETICS;Detroit;MI;48201;;;;006
D;20218XW130;;PR;1;CRABTREE,  OTIS GLEN
D;ORIMXW130;;PR;1;CRABTREE,  OTIS GLEN
D;672XW130;;PR;1;CRABTREE,  OTIS GLEN
D;ORIMXW130;;PR;1;CRABTREE,  OTIS GLEN

H;C04523;C04523;BT1;20250421;655-R5D098;USD;201;201;;FOURNIER, JENNIE A;1500 Weiss Street;Attn: Prosthetics Department;Saginaw;MI;48602;;;;006
D;20017W100;;PR;1;DONALD HARRY
D;ORIMW100;;PR;1;DONALD HARRY
D;20025W100;;PR;1;DONALD HARRY
D;ORIMW100;;PR;1;DONALD HARRY

H;C03773;C03773;BT1;20250421;541-5L4932;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;80022W100;;PR;1;GIBSON, DAWNIELLE RENEE
D;ORIWW100;;PR;1;GIBSON, DAWNIELLE RENEE

H;C03833;C03833;BT1;20250421;460-5R0517;USD;201;201;;BUCHANAN, JACLYN M;1601 KIRKWOOD HWY;ATTN: PROSTHETICS;Wilmington;DE;19805;;;;006
D;20011W140;;PR;1;HALL, ANTONIO LEMONT SR

H;C03754;C03754;BT1;20250421;528A7-U54211;USD;201;201;;NODZO, CARISSA L;800 IRVING AVE;ATTN PROSTHETICS;Syracuse;NY;13210;;;PURCHASE NOT TO EXCEED $10,000 PURCHASE CARD: VISA, EXP 1/2026 CVV: 650 PURCHASE AGENT PHONE: 315-425-4400 Ex 54231 PURCHASE AGENT FAX: 315-425-4321 ADVISE OF ANY ADDITIONAL DISCOUNTS PLEASE EMAIL INVOICE TO CARISSA.NODZO@VA.GOV - - THANK YOU! If the shipping cost exceeds the purchase order threshold of $250, a separate purchase order must be established for the shipping cost using BOC 2220;006
D;20011W080;;PR;1;STRONG, THOMAS LEROY
D;ORIMW080;;PR;1;STRONG, THOMAS LEROY

H;C03958;C03958;BT1;20250421;528A7-U54253;USD;201;201;;TEMPLE, SAMANTHA J;800 Irving Ave.;Attn: Prosthetics Department;Syracuse;NY;13210;;;PURCHASE NOT TO EXCEED $10,000 If purchase >$3500 provide invoice when charging CC PURCHASE CARD: VISA, EXP: 11/2027 CVV: 831 PHONE: 315-425-4400 X 53899 / FAX: 315-425- 2924 BILLING ADDRESS: 800 IRVING AVE. SYRACUSE, NY 13210 Please mail invoice to: SAMANTHA.TEMPLE@VA.GOV Thank you;006
D;892W065;;PR;1;BOWER,  ANITA REYNOLDS
D;ORIWW065;;PR;1;BOWER,  ANITA REYNOLDS
D;90002W065;;PR;1;BOWER,  ANITA REYNOLDS
D;ORIWW065;;PR;1;BOWER,  ANITA REYNOLDS

H;C04547;C04547;BT1;20250421;538-R55605;USD;201;201;;CONGROVE, CALEB M;2146 Southgate Pkwy;Attn: Prosthetics Department;Cambridge;OH;45725;;;PLEASE SHIP ORDER TO: CAMBRIDGE CBOC PODIATRY 2146 SOUTHGATE PKWY CAMBRIDGE, OH 45725 E-mail invoice to caleb.congrove@va.gov or fax to 740-772-7037 Provide proof of delivery/tracking to caleb.congrove@va.gov;006
D;647W105;;PR;1;WEEKLEY, KENNETH R
D;ORIMW105;;PR;1;WEEKLEY, KENNETH R

H;C03773;C03773;BT1;20250421;541-5L5025;USD;201;201;;KAYIJ, IHEMBA C;10701 East Blvd;;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:617 Size: 14 W Color: Blk Quantity: 1 pr. HCPC: L3221 Price: $67.50 Delivery Location: Wade / Becker Justification: Dx;006
D;617W140;;PR;1;AMBROSIA, TODD CHAPIN
D;ORIMW140;;PR;1;AMBROSIA, TODD CHAPIN

H;C04291;C04291;BT1;20250421;636A5-5PW553;USD;201;201;;HOEHN, DANIEL J;420 Victory Park Drive;Attn: Prosthetics Department;Lincoln;NE;68510;;;Please contact Daniel Hoehn at Daniel.Hoehn@va.gov or 402-346-8800 ext 202912 for any further questions. Please email invoice to Daniel.Hoehn@va.gov or fax to 612- 725-4980. Thank you.;006
D;20011M105;;PR;1;WALKER, MITCHELL LEE
D;ORIMM105;;PR;1;WALKER, MITCHELL LEE

H;C03858;C03858;BT1;20250421;607-Q57433;USD;201;201;;DRAGO, WILLIAM A IV;2500 OVERLOOK TERRACE;ATTN: PROSTHETICS;Madison;WI;53705;;;;006
D;20013W120;;PR;1;FELLENZ, PATRICK K
D;ORIMW120;;PR;1;FELLENZ, PATRICK K

H;C03782;C03782;BT1;20250421;636A6-Q5B438;USD;201;201;;WAGGONER, TERI SUE;3600 30TH STREET;ATTN:PROSTHETICS;Des Moines;IA;50310;;;USE PO # WHEN CHARGING CARD EMAIL INVOICE/RECEIPT TO: teri . waggoner@va.gov PHONE NOTIFY IMMEDIATELY IN THE EVENT THERE IS A BACK ORDER;006
D;610W100;;PR;1;EARLE, MARTY HOWARD
D;ORIMW100;;PR;1;EARLE, MARTY HOWARD
D;672W100;;PR;1;EARLE, MARTY HOWARD
D;ORIMW100;;PR;1;EARLE, MARTY HOWARD

H;C03776;C03776;BT1;20250421;542-R56584;USD;201;201;;CURRY, CHARLI;1400 BLACKHORSE HILL ROAD;ATTN: PROSTHETICS;Coatesville;PA;19320;;;;006
D;633M090;;PR;1;EL, MAHDI SUFI
D;ORIMM090;;PR;1;EL, MAHDI SUFI

H;C03373;C03373;BT1;20250421;529-R54438;USD;201;201;;SLAGLE, GREGORY ALLEN;353 NORTH DUFFY ROAD;Attn: Prosthetics Department;Butler;PA;16001;;;;006
D;20218W100;;PR;1;WEISS, WILLIAM A
D;ORIMW100;;PR;1;WEISS, WILLIAM A

H;C03983;C03983;BT1;20250421;663-M56792;USD;201;201;;DAVIES, BRITNEY A;1660 South Columbian Way;Attn: Prosthetics Department;Seattle;WA;98108;;;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;20019W100;;PR;1;MENDOZA, ROMEL CHOA JR
D;ORIMW100;;PR;1;MENDOZA, ROMEL CHOA JR
D;40802W100;;PR;1;MENDOZA, ROMEL CHOA JR
D;ORIMW100;;PR;1;MENDOZA, ROMEL CHOA JR

