Orange County NC Website
Browse       Search
Purchase Order Form <br />Account Manager <br />Cell Phone <br />Check box if Billing same as Shipping <br />BILL TO <br />!!,!,lling Account Num <br />�<;>mpany Name ,.. Contact or Department ,..., Street Address r' Addt'I Address Line ""' City, ST ZIP .. , Phone <br />Authorized Customer Initials <br />DESCRIPTION <br />REFERENCE QUOTE 1.._ ___ _,1 <br />□ <br />CUSTOMER# <br />Accounts Payable Contact Information <br />Name <br />Email <br />Phone <br />Authorized Customer Signature <br />Printed Name <br />Title <br />Signature <br />Date <br />Attachment Stryker Quote Number <br />·-·- <br />·-·- <br />QlY <br />I I <br />stryker® <br />SHIP TO <br />Purchase Order Date <br />Expected De livery Date <br />Stryker Quote Number <br />��ipping Account Num <br />$.ompany Name <br />�.ontact or De partment Street Address <br />Addt'I Address Line .... ,S:,itv, ST ZIP <br />Phone <br />Authorized Customer Initials <br />TOTAL <br />CUSTOMER# I <br />Stryker Terms and Conditions <br />www.stryker.com/stnc <br />·-·-·-·-·- <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 />Lysa May <br />1-336-213-1114 <br />2019095920159606 <br />10958150 <br />OCES OCESLysa May510 Meadowlands Dr. <br />Hillsborough, NC 27278919-245-6152 <br />Lysa May510 Meadowlands Dr. <br />Hillsborough, NC 27278919-245-6152 <br />Lysa May <br />lmay@orangecountync.gov <br />919-245-6152 <br />Travis Myren <br />County Manager <br />10958150 <br />Docusign Envelope ID: 31E292B3-4AD8-4CBB-B5CB-D29524BF855B <br />9/3/2024