Complete Rapid Drug
Alcohol Testing Solutions
American Screening Corp.
9742 Saint Vincent Ave., Suite 100
Shreveport LA 71106
(318) 798-3306
Drop Ship PO
#PO56003
Order Date: 7/20/2026
Vendor: 0099001
Sample Diagnostics Supply Co.
100 Demo Park Drive
Suite 4
Memphis TN 38118
United States
Ship To:
ASC WILL PROVIDE THE LABEL
Confirm To:
Gopikrishna Daram
Total
$66.00
Required DateShip VIAF.O.B.TermsCreated From
UPS Ground Net 30 ()Sales Order #SO900103
ItemVendor
Item Code		UOMOrderedB/OUnit PriceAmount
DOA-11105
10 Panel Cassette (THC/COC/AMP/MAMP/OPI/PCP/BAR/BZO/MTD/TCA)
 DOA-11105 BX25 3 $22.00 $66.00
Shipping
Tax Total (%)
Total$66.00
BLIND SHIP, DROP SHIP
PLEASE CONFIRM RECEIPT OF PO
PO# MUST BE ON ALL PAPERWORK
EXPIRATION DATE MUST BE 24 MONTHS FROM MANUFACTURE DATE
ASC WILL PROVIDE THE LABEL, PLEASE PROVIDE WEIGHT AND DMS
PLEASE ATTACH ASC PACKING SLIP FOR THE SHIPMENT
EXPECT TO SHIP OUT TODAY,
BY ACCEPTING THIS PO, YOU ARE ACCEPTING THE TERMS AND CONDITIONS OF THIS PO
Purc-4006 Rev B
PO56003
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