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Purchase Requisition
Purchase Requisition
Date:
April 1, 2015
Medical Assistants
P.O. #:
1256
Customer ID:
4831568730
Vendor
Moore Medical
Ship to
06032-4066
800.234.1464
Shipping Method
Shipping Terms
USPS
Qty
Delivery Date
Two-Day shipping.
Item #
Description
3/11/15
Manufacture
Unit Price
58305784
Sub Q needle/syringe 3 mL
B-D Consumer
305156
B-D Consumer
79.55
318.20
305111
Filter needle. 21 G1
B-D Consumer
13.99
69.95
4410
Miltex
16.65
49.95
903SB
Wallcur
36.95
110.85
90093
67.89
135.78
14170
Moore Medical
25.19
100.76
958702
Razors
18"x26" nonfenestrated sterile
drapes
Cotton swabs
Moore Medical
C & A Scientific
11.50
23.00
SBO-1000
AMHSCO
142.00
142.00
728885
Lubricating Jelly. 4 fl oz
Chester Labs
32.40
64.80
930022
Cytology Spray. 4 oz
Andwin Scientifi
42.75
85.50
68200
NitriDerm
72.89
218.67
68199
NitriDerm
72.89
218.67
68198
NitriDerm
72.89
291.56
8881
Irrigation Syringe. 60 cc
Kendall
43.75
87.50
1201
Iodine. 1 swab
Dynarex
69.80
279.20
1.18E+009
U-100 Syringe
Kendall
85.50
171.00
10
JD01T2516
Tuberculin Syringe
Nipro
19.85
198.50
51415
Syringe. 1 mL
B-D Consumer
55.19
55.19
95363
Syringe. 5cc
B-D Consumer
28.09
56.18
96790
Syringe. 10cc
B-D Consumer
25.39
50.78
11800
Syringe. 3 mL, IM
B-D Consumer
48.95
195.80
60364
27.39
54.78
22473
Oxygen Tubes
Salter Labs
112.00
224.00
11664
Spirettes
Moore Brand
353.00
353.00
1.00
2195
Puritan
569.75
569.75
1.00
162.21
Line Total
324.42
Kelnix Wipes
Kimwipes
76.80
76.80
1.00
S778321
Andwin Scientifi
221.12
221.12
1.00
S778321
Cervex-brush
Andwin Scientifi
221.12
221.12
Qty
Item #
Description
Manufacture
Unit Price
Line Total
3.00
95414
Slides
Moore Medical
20.19
60.57
5.00
WA59001A
Specula, disposable.
Welch Allyn
78.65
393.25
1.00
958703
C & A Scientific
7.15
7.15
Subtotal $
1. Please send two copies of your invoice.
Sales Tax
Total $
5,429.80
Authorized by
Date
5,429.80