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HomeMy WebLinkAbout29120FRESNO COUNTY FIRST AID ORDER FORM SITE ADDRESS:_______________________________________________________________________________ BILLING ADDRESS & DEPARTMENT___________________________________________________________ NAME:__________________________________________ PHONE:____________________ CHOOSE LOGISTICS: SHIP COMPLETE ($100 minimum required for prepaid freight) _______ - OR - WILL CALL (partial order shipments permitted)_________ Date:______________ Requisition #______________________ Contract # P-16-669-T Phone: 268-6241 X 1 / FAX: 268-0710 / E-mail: sales@jorgensenco.com ITEM #PRODUCT DESCRIPTION KIT STYLE UNIT PRICE ORDER QTY. 6197 Wound wipes, 20 per box Automobiles & Office BX $0.78 2606 Alcohol wipes, 50 per box Automobiles & Office BX $.86 0471 PVP Iodine Swabs, 10 per box Automobiles & Office BX $2.45 2717 Antiseptic spray, 2 oz. pump Automobiles & Office EA $1.69 1214 Adhesive tape, 1" x 5 yd Automobiles & Office -On a plastic dispensing spool - EA $1.20 1530-1 Adhesive tape, 3M hypoallergenic paper type Automobiles & Office EA $0.74 1157 Cotton tipped applicators, 3”, 100 per vial Automobiles & Office BX $1.25 4730 Sterile eyewash, buffered 4 ounce bottle Office only EA $1.77 4726 Sterile eyewash, buffered 1 ounce bottle Office only EA $1.38 7744 Eye cups, 6 per vial Office only EA $1.23 1706 Roller gauze bandage 1”x 10 yd. sterile Automobiles & Office RL $0.66 1707 Roller gauze bandage 2” x 10 yd. sterile Automobiles & Office RL $1.01 1708 Roller gauze bandage 3” x 10 yd. sterile Automobiles & Office RL $1.28 1832 Gauze pads, 2" x 2", 10 per box Automobiles & Office BX $0.47 1833 Gauze pads, 3" x 3", 10 per box Automobiles & Office BX $0.76 2131 Telfa non-stick gauze pads, 2”x 3”, 25 per box Automobiles & Office BX $1.65 1049124 Bacitracin antibiotic ointment, .9 gram, 25 per box Automobiles & Office BX $4.66 0515 Instant cold pack, 5" x 6" , 1 each Office only EA $0.49 2395 Triangular bandage, 40" x 40" X 56" Automobiles & Office EA $.42 O223 Compress bandage - 3” , 2 per box Automobiles & Office BX $1.40 0270 Eye dressing, sterile 4 per box Automobiles & Office BX $1.23 0545 CPR mask/ barrier shield Automobiles & Office EA $4.99 0552 Scissors & Forceps, wire handle Office only PR $0.94 2201 Splinter Out, tweezers alternative, 10 per unit Office only EA $1.62 2641 Disposable vinyl gloves, 2 pr./ box, one size Automobiles & Office BX $0.70 0586 Disposable nitrile gloves, 2 pr/ box, one size Automobiles & Office BX $.56 1088 Adhesive bandages, assorted styles/ woven Automobiles & Office 60 assorted bandages per box BX $2.45 0110 1” x 3” adhesive sheer bandages, Automobiles & Office 16 per box $.47 O874 Empty 2 shelf first aid kit for wall mount, Office Use 15” x 10” x 5” EA $25.00 932 Empty 2 shelf first aid kit for wall mount Office Use 14-7/8”x10” x 4-5/8”” EA $21.90 0845 Empty unitized first aid kit for vehicles Automobile use EA $10.64 2924 Emergency blanket, yellow, 58” x 90” *Not specified*EA $5.41 0730 30 minute flare * Not specified*EA $1.96 Thank You for your business! Jorgensen Company An Employee Owned Company 2467 Foundry Park Ave Fresno,Ca 93706 Page 2 Comments or Questions: