ITEM INFORMATION ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 1.00 EA ManoScan ESO Z Catheter LOCAL STOCK NUMBER: 3890 Funding/Req. Number: 1 664-18-4-8143-1351 0002 1.00 EA HRM Catheter Extended Warranty, 1 year LOCAL STOCK NUMBER: 80372 Funding/Req. Number: 1 664-18-4-8143-1351 GRAND TOTAL ACCOUNTING AND APPROPRIATION DATA ACRN APPROPRIATION REQUISITION NUMBER AMOUNT 1 664-368/90161-8143-810300 Merit Reviewed Medical -3131 Medical, Dental and Sci E-810010100 664-18-4-8143-1351 (P) A.2 DELIVERY SCHEDULE DATE 0001 1.00 0002 1.00

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