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PHONE KANSAS CITY KANSAS 66160 FAX UNIVERSITY OF KANSAS MEDICAL CENTER 3901 RAINBOW BLVD VENDOR INFORMATION 1- FEIN FEIN OR SSAN TAX ID 1-FEIN 2-SSAN NAME STREET CITY ST ZIP TERMS Date Wanted QUAN. UNIT FOB DESTINATION DESCRIPTION OF MATERIALS OR SERVICES SHIP VIA UNIT PRICE AMOUNT Print Form PRINT All shipments shipping papers and correspondence must be identified with our Purchase Order Number.

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