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| HCA Order Form |
| Division | TriStar Division | ||
| Site/Hospital | Parkridge Main | ||
| Billing | Delivery | ||
| Name | sandra.hart@hcahealthcare.com | Name | Beth Broadway |
| George.Greene1@healthtrustpg.com | elizabeth.broadway@hcahealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 2205 McCallie Ave |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | Suite 506 |
| Address Line 3 | Suite 1100 | Address Line 3 | |
| City | Nashville | City | Chattanooga |
| State | TN | State | TN |
| ZIP | 37203 | ZIP | 37404 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| [980] | Brayden Power Adaptor for Adult & Baby, 110v, 8ft cord, U.S. Plug | 1 | $14.65 |
| Sub-Total | $14.65 | ||
Innosonian, Inc
Innosonian, Europe