Mckesson Invoice_58788909_21252712 — File 25-1733

Bill To: Shipped From: Payment / Account Balance Inquires: Customer Service: Sales Order Number Sales Order Date PO Number Please consider paying online or setting up Autopay at pay.mms.mckesson.com Notes: Invoice Detail Item Number Vendor / Vendor Cat # Description Ordered Unit Shipped Unit Price Amount Sales Tax Codes (*) TIN: DUNS: Vendor: PO LN SUB TOTAL FREIGHT TAX AMOUNT Please consider paying online or setting up Autopay at pay.mms.mckesson.com Please Remit To: Date Document Number Account Number Terms McKesson Medical-Surgical Government Solutions LLC 9954 Mayland Drive Suite 5176 Henrico, VA 23233 58788909 CITY OF SOMERVILLE HEALTH DEPARTMENT 50 EVERGREEN AVE SOMERVILLE MA 02145 Invoice Page 1 of 1 MMSE1DPD01 MCKESSON MEDICAL-SURGICAL INC(NORTHBORGH 55 LYMAN STREET, SUITE 1 NORTHBOROUGH,MA 01532 SHIPPED FROM LICENSE: WD462CS CITY OF SOMERVILLE HEALTH DEPARTMENT ATTN CITY HALL ANNEX 50 EVERGREEN AVE SOMERVILLE MA 02145 REGULATORY LICENSE: 203832 58788910 [phone removed] [phone removed] 7064799 10/17/2023 20242581 MUHAMMAD, IBRAHIM Sales Rep Name 21252712 10/21/2023 $147.86 Invoice Number Invoice Date Payment Due Date Invoice Amount 11/20/2023 By doing business with McKesson, Customer acknowledges that it is familiar with McKesson’s Terms of Sale and is responsible for reviewing in full the complete Terms of Sale that apply to this purchase, located at https://mms.mckesson.com/content/terms-of-sale-government-solutions. McKesson’s acceptance of Customer’s order was expressly conditioned upon Customer’s assent to the complete Terms of Sale. Shipped To: 05-142-0107 20-2046702 1210019 1 EA 1 BIG HEALTHY SNACK BOX, 61 ASSO 147.86 147.86 .00 GRR-700S0025 5 UNDSTR Vend Cat#: MMS PO# 33139288 $147.86 $0.00 $0.00 $147.86 The prices on this invoice may be subject to rebates, credits and other price adjustments. You are obligated to properly disclose and appropriately reflect all discounts, including rebates, in claims and costs submitted to federal and state government health care programs (including Medicare and Medicaid) and to provide this invoice and other discount documentation to government authorities on request, in accordance with all applicable laws and regulations, including 42 USC 1320a-7b(b) and the discount safe harbor. In addition, the purchase of products hereunder may qualify customer for discounts on certain purchases made under a distribution agreement between customer and McKesson Corporation. PRICING IS CONFIDENTIAL AND PROPRIETARY. 10/21/2023 11/20/2023 21252712 58788909 $147.86 AR NET 30 DAYS Pay This Amount Before CITY OF SOMERVILLE HEALTH DEPARTMENT 50 EVERGREEN AVE SOMERVILLE MA 02145 MCKESSON MEDICAL - SURGICAL PO BOX 936279 ATLANTA GA 31193 MMSE1DPD01 McKesson Medical-Surgical Government Solutions LLC 9954 Mayland Drive Suite 5176 Henrico, VA 23233 Invoice