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PURCHASE ORDER
CATEGORY COMMODITIES
EXPENSE CATEGORY MEDICAL/DENTAL SUPPLIES
PAYEE MIDWEST MEDICAL SUPPLY COMPANY, LLC
PAYMENT REQUEST PRM 9300 18061923425

Total:$1,973.83

Purchase Orders | Select from Below
PURCHASE ORDER CONTRACT DESCRIPTION REF. LINE CHECK DATE CHECK STATUS 
Checks cleared as of 01/31/2015 have been reflected as paid on the reports
 AMOUNT
DO 9300 18030207534 n/a M043 Diltiazem HCI ( Cardizem) SDV Strength: 5mg/m 161 06/20/2018 Paid $33.30
DO 9300 18053011066 n/a Infant Oxygen Mask Rush #3996218 151 06/20/2018 Paid $10.18
DO 9300 18053011066 n/a DISPOSAL Suction Canister 111 06/20/2018 Paid $418.95
DO 9300 18053011066 n/a B018 STAT STRIP Adhesive Bandages American White Cross 1 121 06/20/2018 Paid $315.70
DO 9300 18053011066 n/a Adult Nonbreathing Oxygen Mask Hudson RCI #1060 141 06/20/2018 Paid $1,080.20
DO 9300 18053011066 n/a Krinkle Gauze Roll Dynarex # 3161. 6 ply large sterile ro 131 06/20/2018 Paid $115.50
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