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Office Name

Contact Name

Email Address

Phone

Delivery Address

Formalin

	Item		Amount Requested
16400	FORMALIN, 7ML PREFILL	BX
17044	FORMALIN, 20ML PREFILL	BX
17055	FORMALIN, 40ML PREFILL	BX
17045	FORMALIN, 60ML PREFILL	BX
14533	FORMALIN, 180ML PREFILL	BX
12424	BLUE BIOPSY SQUARES SPONGE	PK

Specimen Bags

	Item		Amount Requested
17477	SPECIMEN BAG LOGO SMALL 6x9	PK
16516	SPECIMEN TRANSP BAG 8X10	PK
16517	SPECIMEN TRANSP BAG 15X17	PK
11915	SPECIMEN TRASNP BAG 12X15	PK

Gyn Supplies

	Item		Amount Requested
16967	ENDO-CERVIX BRUSH (PURITAN)	PK
17028	CERVICAL BRUSH (SPH-500) (WHITE)	PK
17506	#1 CERVIX BRUSH (ROVERS CERVIX BROOM)	PK
17507	#2 COLLECTION DEVICE (BRUSH & SPATULA)	PK
17505	#5 COMBI CERVIX BRUSH	PK
17504	SUREPATH COLLECTION VIAL	TRAY
17560	URINE TRANSPORT KIT (YELLOW CAP TUBE)	PK
17561	SWAB COLLECTION KIT (GREEN CAP TUBE)	EA
12099	(URINE FOR CYTOLOGY) TUBES STERILE GREEN TOP	PK

Kits

	Item		Amount Requested
17034	PROSTATE KIT	EA
16951	BONE MARROW KIT	EA
17172	RPMI MEDIA	EA
16950	FNA KIT	EA
17709	90 DEGREE CHARGED SLIDES	PK

Printed Materials

	Item		Amount Requested
	TRANSFER LOG
	REQUISITION BOOKS (GREEN)
	MISCELLANEOUS

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