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State Contract Reporting System

Florida Department of Financial Services: F.A.C.T.S

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Purchase Order Information

   

Summary

Agency Name: DEPARTMENT OF HEALTH

Purchase Order Number: EP490517

Purchase Order Title: 643605-(25-26)-MELNSG-Express Printing-Forms

Vendor Name: COPY WELL INC.

Total Purchase Order Amount: $2,034.50

Total Budgetary Amount: $2,034.51

Total Payment To Date: $2,034.51

Order Date: 11/17/2025

Main Information

Purchase Order Number: EP490517

Purchase Order Status: Ordered

Order Date: 11/17/2025

Purchase Order Beginning Date: 11/17/2025

Purchase Order Ending Date: 02/28/2026

Purchase Order Fiscal Year: 2025-2026

Purchase Order Title: 643605-(25-26)-MELNSG-Express Printing-Forms

Vendor Information

Name Line 1: COPY WELL INC.

Name Line 2: EXPRESS PRINTING AND MAILING TA

City State Zip: TALLAHASSEE FL 323030000

Minority Vendor Designation: Asian-American, Certified

Budget Information

Total Purchase Order Amount: $2,034.50

Total Budgetary Amount: $2,034.51

Budgetary Amount Account Code FY
$2,034.51 64-20-2-141001-64200700-05-040000-00 2025-2026


More LINE ITEM NUMBER      COMMODITY TYPE STATE TERM CONTRACT ID AGENCY SOLICITATION NUMBER Quantity Unit Price Total Unit Price
     
 1 Printing 44111513-17-01 4.0000 $128.0000 $512.00
Form - HD-010 Referral rev 1/20 Printed black, one sided, 2 part NCR, 8.5x11, pack in 250s
     
 1 Printing 44111513-17-01 4.0000 $128.0000 $512.00
Form - HD-010 Referral rev 1/20 Printed black, one sided, 2 part NCR, 8.5x11, pack in 250s
     
 1 Printing 44111513-17-01 4.0000 $128.0000 $512.00
Form - HD-010 Referral rev 1/20 Printed black, one sided, 2 part NCR, 8.5x11, pack in 250s
     
 2 Printing 44111513-17-01 10.0000 $152.2500 $1,522.50
Form - HD-211-EU Non-Maternity Encounter Form - rev date Front 8/25 - Back 8/23 Printed black, two sided head to head, 2 part NCR, 8.5x11, 2 hole punch TDC, pack in 250s.
     
 2 Printing 44111513-17-01 10.0000 $152.2500 $1,522.50
Form - HD-211-EU Non-Maternity Encounter Form - rev date Front 8/25 - Back 8/23 Printed black, two sided head to head, 2 part NCR, 8.5x11, 2 hole punch TDC, pack in 250s.
     
 2 Printing 44111513-17-01 10.0000 $152.2500 $1,522.50
Form - HD-211-EU Non-Maternity Encounter Form - rev date Front 8/25 - Back 8/23 Printed black, two sided head to head, 2 part NCR, 8.5x11, 2 hole punch TDC, pack in 250s.
 Displaying 1 to 6 of 6    


Payments, also known as expenditures, refer to the creation or incurrence of a legal obligation to disburse money. They also encompass disbursements, which are the actual payments of expenditures, as well as accounting adjustments made on a contract. Payments always reflect positive amounts, whereas accounting adjustments may be positive or negative, depending on the nature of the adjustment. Not all adjustments are reflected in FACTS.

Payment Details

"Date" in the listing below indicates the date the payment voucher was recorded in the system, not the date the payment was issued. An agency may have recorded payments associated with a contract on both a Contract and a Purchase Orders in FACTS.
More Fiscal Year Total Amount
     
 2025-2026 $2,034.51

If a payment or adjustment to a purchase order was made before July 1, 2013, the information may not be posted in this system.

Purchase Order Document

No Purchase document records found for this purchase order.

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