Orange County NC Website
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DocuSign Envelope ID:96B910A7-1A6F-41C8-8873-FC9512F41139 <br /> Purchase Order Form strykery <br /> Account Manager Purchase Order Date <br /> Cell Phone Expected Delivery Date <br /> Stryker Quote Number 210212134824 <br /> Check box if Billing same as Shipping 171 <br /> BILLTO 11 CUSTOMER# SHIP TO CUSTOMER# <br /> Billing Account Num 1155990 Shipping Account Num 1284548 <br /> .............................................................................................................................................................................. ..................................................................................................................................................................... <br /> Company Name Company Name ORANGE COUNTY EMER MGMT <br /> .............................................................................................................................................................................. ..................................................................................................................................................................... <br /> Contact or Department Contact or Department Kim Woodard <br /> .............................................................................................................................................................................. ..................................................................................................................................................................... <br /> Street Address Street Address 510 MEADOWLANDS DR <br /> .............................................................................................................................................................................. ..................................................................................................................................................................... <br /> Addt'I Address Line Addt'I Address Line <br /> .............................................................................................................................................................................. ..................................................................................................................................................................... <br /> City,ST ZIP City,ST ZIP HILLSBOROUGH,NC 27278-8504 <br /> ........................................................................................................................................................................ ..................................................................................................................................................................... <br /> Phone Phone 919-245-6152 <br /> DS 5t� <br /> DS <br /> Authorized Customer Initials ityAuthorized Customer Initials <br /> DESCRIPTION QTY TOTAL <br /> REFERENCE QUOTE <br /> Accounts Payable Contact Information <br /> Name <br /> Email <br /> Phone Stryker Terms and Conditions <br /> www.strykeremergencycare.com/terms <br /> Authorized Customer Signature <br /> Printed Name Bonnie Hammersl ey <br /> Title County Manager <br /> Signature ��76W tfiamw,ws(u� <br /> Date <br /> Attachment Stryker Quote Number 210212134824 <br /> *Sales or use taxes on domestic(USA)deliveries will be invoiced in addition to the price of the goods and services on the Stryker Quote. <br />