Laserfiche WebLink
STATE OF HAWAII PURER No. 00 037743 g\t\" <br /> REQUISITION & PURCHASE ORDER <br /> DOC 00081564 <br /> Chronic Disease Branch HTH 590GP <br /> Date 2/24/2012 <br /> ORGANIZATION FUNCTION AND ACTIVITY <br /> Deliver Before <br /> NOTICE TO VENDORS DELIVERY ADDRESS <br /> Conditions of purchase are listed at the bottom of this purchase order Please read carefully. Diabetes Prevention and Control Pr <br /> Payments may be delayed if all steps are not followed. <br /> 601 Kamokila Blvd.,#344 <br /> HAWAII COUNTY OFFICE OF AGING <br /> 1055 KINOOLE ST#101 Kapolei HI 96707 <br /> HILO, HI 96720-3872 BILLING ADDRESS <br /> The State of Hawaii is an EQUAL EMPLOYMENT OPPORTUNITY and AFFIRMATIVE ACTION (SAME AS ABOVE) <br /> employer. We encourage the participation of women and minorities in all phases of employment. <br /> QUANTITY UNIT DESCRIPTION OBJECT UNIT PRICE AMOUNT <br /> Funds are to facilitate the implementation for training of lay 7190 7,144 00 <br /> leaders of the Stanford University Diabetes Self Management <br /> Program(DSMP).,this could include cross-training with the <br /> Chronic Disease Self Management Program(CDSMP). Costs <br /> include airfare and per diem and car rental for two DSMP Master <br /> Trainers from another neighbor island;training materials and <br /> supplies;and travel costs and per diem for lay leaders,that <br /> could include those from Kona,Ka'u,and Waimea. <br /> GOVERNMENT TO GOVERNMENT"EXEMPT" <br /> TOTAL: $7,144.00 <br /> Julia j Lipsher 808-586-4662 VOUCHER AUTHENTICATED BY: <br /> REQUISITIONER TELEPHONE NUMBER I.0 i <br /> GOODS/SERVICES RECEIVED IN GOOD ORDER AND CONDITION BY: DATE <br /> AUTHORIZED BY <br /> Conditions:READ CAREFULLY <br /> R,QU ISITI ON NO. 1,A valid Purchase Order must have a P.O.Number and be authenticated by an authorized signatur or name <br /> 2 Prices include delivery charges unless otherwise stated. <br /> 3.The State reserves the right to reiect any items supplied that are not in accordance with specifications even though payment has been made in order to <br /> obtain discounts. <br /> VENDOR FOR DEPARTMENT USE ONLY <br /> NUMBER SFX VENDOR DOES NOT ACCEPT PCARD <br /> 00001 00060 00 <br /> SFX TC F YR APP D OBJECT CC PROJ NO. PH ACT ESTIMATED COST ACTUAL COST M R OPT DATA <br /> 01 621 S 12 225 H 7190 000465 12 032 7,144.00 <br /> Ste Accounting For <br /> COPY#1 -VENDOR (WHITE) July 1,1983(Reused)C-03 <br /> RECEIVED MAR 1 4 201Z <br />