OE400SPS

QUOTE NO. ACCOUNT NO. DATE

GHZB639 3985011 7/17/2015

BILL TO: SHIP TO:

SAMARITAN MEDICAL CENTER SAMARITAN MEDICAL CENTER
PO BOX 517 Attention To: PO#
830 WASHINGTON ST

Accounts Payable
WATERTOWN , NY 13601-0517 WATERTOWN , NY 13601-4099
Contact: JEFF WOOD 315.785.4371

Customer Phone # Customer P.O. # GHZB639 QUOTE

ACCOUNT MANAGER SHIPPING METHOD TERMS EXEMPTION CERTIFICATE

ALEX CORNWELL 866.806.4805 UPS Ground (2- 3 Day) Net 30 Days-Healthcare EX-111467
QTY ITEM NO. DESCRIPTION UNIT PRICE EXTENDED PRICE

1 3541927 CISCO UCS C240M4SX W/2XE52620V3 3,398.73 3,398.73

Mfg#: UCS-SPR-C240M4-E2
Contract: Premier - Greater New York Hospital Assoc -
GNYHA
PP-IT-133
1 3567788 CISCO UCS RIGHT PCIE RISER BOARD 65.08 65.08
Mfg#: UCSC-PCI-1A-240M4=
Contract: Premier - Greater New York Hospital Assoc -
GNYHA
PP-IT-133
1 3552083 CISCO UCS RIGHT PCIE RISER BOARD 0.00 0.00
Mfg#: UCSC-PCI-1B-240M4=
Contract: Premier - Greater New York Hospital Assoc -
GNYHA
PP-IT-133
3 2677195 CISCO UCS 300GB 6GB SAS 15K SFF 519.62 1,558.86
Mfg#: UCS-HDD300GI2F105=
Contract: Premier - Greater New York Hospital Assoc -
GNYHA
PP-IT-133

SUBTOTAL 5,022.67
FREIGHT 85.22
TAX 0.00

5,107.89

Please remit payment to:

CDW Government
CDW Government 75 Remittance Drive
230 North Milwaukee Ave. Suite 1515
Vernon Hills, IL 60061 Fax: 847.990.8070 Chicago, IL 60675-1515

This quote is subject to CDW's Terms and Conditions of Sales and Service Projects at
http://www.cdwg.com/content/terms-conditions/product-sales.aspx
For more information, contact a CDW account manager.