IVHQ- OFD- Pill Cards 8-2023.pdf
PDF 234 KB Posted
- Attached to
- IVHQ FY24 Pill Cards
- Solicitation number
- 24-497DVA-QUINC-B-38890
- Issued by
- Adams County, Illinois
About this file
This document appears to be an order form for the Illinois Veterans Home - Quincy, requesting the purchase of 50,000 units of Uni-31 count pill cards from RX Systems. The order form provides details on the item description, quantity, unit of measure, unit price, and total line price. The order is for the FY 2024 fiscal year, and the justification indicates a need for the cards to package medications for the home's residents. The order form is signed by the requesting party, Carl Maple, Pharmacy, and the completed date is provided.
The total cost of the order is $11,000. There are no other salient pricing terms, set asides, incumbents, funding requirements, or other information provided in the document.
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| File | Type | Posted |
|---|---|---|
| Standard Terms and Conditions v.23.2~54.pdf |
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Text version
OFD
REQ
PO
Ordered:
Delivered:
Item No. Item Description Qty UOM Price/ CV Price / EA
Total Price
Completed
Updated 11/3/2021
FY - ___
Ordered by
Approved by
Title
Title
THE MERCHANDISE OR SERVICE BILLED ABOVE HAS BEEN RECEIVED AND COMPLIES WITH OUR SPECIFICATIONS OR REQUEST.
Requested by Title
TOTAL =
DATE COMPLETED
STATE OF ILLINOIS
ORDER FOR DELIVERY
This is not an authorization for purchase unless accompanied with a purchase order or a purchase order has been provided.
INVOICE #
SHIP / BILL TOVENDOR
Justification for Request:
Illinois Veterans Home- Quincy 1707 North 12th St Quincy, IL 62301
OFD
| FY: 24 |
| OFD: |
| REQ: |
| PO: |
| VENDOR: RX Systems |
| Ordered: |
| Delivered: |
| Justification for Request: DC for Pharmacy Need cards to package for members meds |
| TOTAL: 11000 |
| Requested byINVOICE: Carl Maple |
| TitleINVOICE: Pharmacy |
| TitleDATE COMPLETED: |
| Ordered by: |
| Title: |
| Item #: |
| 0: 1 |
| 1: |
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| Item Description: |
| 0: Uni-31 ct Pill Cards (1000/M) |
| 1: |
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| Qty: |
| 0: 50 |
| 1: |
| 2: |
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| 9: |
| UOM: |
| 0: M |
| 1: |
| 2: |
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| 9: |
| Price: |
| 0: 220 |
| 1: |
| 2: |
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| 9: |
| Total line price: |
| 0: 11000 |
| 1: 0 |
| 2: 0 |
| 3: 0 |
| 4: 0 |
| 5: 0 |
| 6: 0 |
| 7: 0 |
| 8: 0 |
| 9: 0 |
File details come from the government source that posted it. Updated .