| CPC Data Systems Data Processing Service 954 Montgomery Avenue Narberth, PA 19072 Tel (484) 270-8768 * Fax (215) 689-4660 |
Purchase Order
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| Vendor | Ship To | ||
| Staples | |||
| 800 Eight Avenue | |||
| Suite 101 | |||
| New York, PA 10018 | |||
| Item (SKU#) | Description | Reorder # | Qty | Units | Rate | Amount |
| V1921 | Admin Set | 57397 | 11 | Each | 9.00 | 99.00 |
| 521 | Alcohol Prep | 182330 | 2 | Box | 4.50 | 9.00 |
| V1921 | Admin Set | 57397 | 0 | Each | 9.00 | 0.00 |
| 521 | Alcohol Prep | 182330 | 1 | Box | 4.50 | 4.50 |
| 521 | Alcohol Prep | 182330 | 2 | Box | 4.50 | 9.00 |
| V1921 | Admin Set | 57397 | 1 | Each | 9.00 | 9.00 |
| V1921 | Admin Set | 57397 | 1 | Each | 9.00 | 9.00 |
| V1921 | Admin Set | 57397 | 1 | Each | 9.00 | 9.00 |
| V1921 | Admin Set | 57397 | 1 | Each | 9.00 | 9.00 |
| V1921 | Admin Set | 57397 | 1 | Each | 9.00 | 9.00 |
| 521 | Alcohol Prep | 182330 | 1 | Box | 4.50 | 4.50 |
| 966 | sanitizing Alcohol | 5679999 | 1 | bottle | 2.60 | 2.60 |
| 521 | Alcohol Prep | 182330 | 1 | Box | 4.50 | 4.50 |
| 521 | Alcohol Prep | 182330 | 5 | Box | 4.50 | 22.50 |
| 521 | Alcohol Prep | 182330 | 5 | Box | 4.50 | 22.50 |
| 521 | Alcohol Prep | 182330 | 5 | Box | 4.50 | 22.50 |
| 521 | Alcohol Prep | 182330 | 555 | Box | 4.50 | 2,497.50 |
| Total 2,743.10 | ||||||
| Requested Delivery Date:
04/14/2011
Special Instructions: | ||||||