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JUL-29-2008 TUE 02:50 MEDICAL ADMIN FAX N0 30 3808 P. 15 <br />TATE OF CALIFORNIA <br />DEPARTMENT OF CORRECTIONS AND REHABILITATION <br />4TRAQPFICE REQUISITION (10R) <br />AGENCY BILLING CODE CONTRACT/DELEGATION NQ <br />SCh 954 <br />S Department of Corrections & Rehab. <br />B <br />17053 913 0609 DCR H01 PAGE `t of 1 <br />H Deuel Vocational Institution <br />Central Valley Regional Acctg. Date <br />I 23500 Kasson Road <br />! <br />Deuel Vocational Institution -DVI 7/24/2008 <br />P <br />L <br />P.O. Box 4147 <br />P.O. Box 400 <br />L <br />Stockton, CA 95204 Ref#: <br />T Tracy, CA 95376 <br />T <br />tJ <br />Q <br />Attn: Doug Wellborn WCJF/FSR Certo <br />ODOR BAY MEDICAL <br />ORDERING OEPARTMENTtUNIT <br />AF x 400 TALBERT STREET <br />)RFss DALY CITY, CA 94014 <br />HEALTH CARE SERVICES <br />ntact: GARY MELENDEZ <br />FISCAL YEAR PROJECT NO. <br />no Number Fax Nmmbor Stp. 204 lKlOn nle <br />08/099 <br />03und FUND TITLE <br />.15) 508,09010 <br />Wanted <br />t41508-0100 <br />ber SIB Cart# <br />GENERAL <br />PGA CODE <br />2D DAYS ARCO <br />26322 <br />8/19/2009 50100 <br />p1 JE!: Cppp <br />❑ FOB Vendor <br />E+SB ❑MB ❑DVBE516 <br />TLRMS <br />FOB Destination ❑ FOB Shipping Point <br />°M <br />Net 30 <br />D. QUANTITY UNIT <br />COMMODITY CODE RECYCLEESTIMATED <br />COST <br />DESCRIPTION <br />5 FA <br />PER UNIT TOTAL <br />Pharmasafe 8870 waste container, 31,23 <br />156.15 <br />18 gallon, gasketed with lids & absorbent <br />/ hereby certify that these goods are essential to maintaining _ <br />Departmental Operations and that funds are available. <br />/Special Instructions- <br />IPERATING EXPENSE 1=.tEQUIPMENT <br />FED <br />r —,..... <br />/ 1NERESY <br />or s nric`e <br />sIo TORE <br />C nthia Fedrick <br />Flaase PAnt yi�. <br />Correctional Healt <br />SUBTOTAL 156T15 <br />TAX RATE: 7.7500% 12.10 <br />SNIPPING CHARGES <br />TOTAL $ 168,25 <br />CERTIFY on my own personal knowleddghat the articles <br />requested hereon a .e nacery for use i my department.; • ' . ; <br />TELEPHONE #. NAME PoeeoePrint ems <br />LEPH0N.0 1PC1i <br />(209) 835.4941 x 5206 Clarissa Whorton (209) 8 . :.1d T X..w;i?. <br />DATE TITLE PIeABa Pnn; Tlilc DATE <br />m 1 7/12®08 OffIC® T@Clintc=ldn 17 P: <br />712008 <br />