ITEM INFORMATION
ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QTY UNIT UNIT PRICE AMOUNT
0001 SHIELDED DC POWER CORD SYSTEM, VA156-10
MANUFACTURER PART NUMBER (MPN): 1001979
LOCAL STOCK NUMBER: 1001979
25.00 EA _________ _________
0002 CHAMBER, HUMIDIFICATION, SYSTEM ONE, HEATED, REPLACEMENT
MANUFACTURER PART NUMBER (MPN): 1063785
30.00 EA _________ _________
0003 FILTER, CPAP, FOR VARIOUS REMSTAR AND BIPAP MODELS, REUSABLE
MANUFACTURER PART NUMBER (MPN): FPR1-2
800.00 PG _________ _________
0004 FILTER, CPAP, REMSTAR PLUS/PRO, ULTRA FINE, DISP, 3 1/2 X 1 1/2IN
MANUFACTURER PART NUMBER (MPN): UFPR1-6
1,600.00 PG _________ _________
0005 COMFORT GEL BLUE NASAL, SMALL
MANUFACTURER PART NUMBER (MPN): 1071269
20.00 EA _________ _________
0006 SIMPLUS FFM&HG, SMALL
MANUFACTURER PART NUMBER (MPN): 400475
10.00 EA _________ _________
0007 SYSTEM, CPAP, REMSTAR 60 SERIES, HEATED HUMIDIFIER
MANUFACTURER PART NUMBER (MPN): DS460HS
25.00 EA _________ _________
GRAND TOTAL _________
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DELIVERY SCHEDULE
ALL ITEMS DELIVERY DATE
SHIP TO: VA MEDICAL CENTER
1100 TUNNEL ROAD
ATTN: PROSTHETICS
ASHEVILLE, NC 28805 ON OR BEFORE 03/25/2016
Bid Protests Not Available