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Payment Request
PAYEE MCKESSON MEDICAL-SURGICAL INC
EXPENSE CATEGORY MEDICAL/DENTAL SUPPLIES
DEPARTMENT AUSTIN PUBLIC HEALTH
FUND 1115 MEDICAID WAIVER
PROGRAM COMMUNITY SERVICES
ACTIVITY NEIGHBORHOOD SERVICES
PAYMENT REQUEST PRM 9100 24041122284
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PURCHASE ORDER CONTRACT DESCRIPTION REF. LINE CHECK DATE CHECK STATUS  AMOUNT
DO 9100 23102301793 n/a MEDICAL, DENTAL AND LAB SUPPLY PER PRICE AGREEMENT 131 04/15/2024 Paid $134.18