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| HCA Order Form | 
| Division | Capital Division | ||
| Site/Hospital | Lewis Gale Medical Center | ||
| Billing | Delivery | ||
| Name | Mathew.Huddleston@hcahealthcare.com | Name | Larry Bartley | 
| George.Greene1@healthtrustpg.com | larry.bartley@hcahealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 1802 Braeburn Dr | 
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | |
| Address Line 3 | Suite 1100 | Address Line 3 | Attn: Larry Bartley, Clinical Education | 
| City | Nashville | City | Salem | 
| State | TN | State | VA | 
| ZIP | 37203 | ZIP | 24153 | 
| Items to Order | |||
| Code | Description | Quantity | Total ($) | 
| S17013 | Brayden Baby/Infant Replacement Airway Tube (single) | 5 | $14.45 | 
| Sub-Total | $14.45 | ||
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