1461006-OP.pdf

This is a State of Nebraska Purchase Order (PO Number 1610506-09) issued on September 16, 2026, by the Department of Health and Human Services (DHHS) to procure goods for the Medicaid-EA Office located at 1955 E Military Avenue, Fremont, Nebraska 68025-5467. The vendor is Amazon Capital Services Inc., headquartered in Seattle, Washington. The buyer is Karen Homes of DHHS, and the order is subject to FOB Destination terms with delivery instructions to Theresa Kratochvil.

The purchase order covers two line items: 2.0000 units of B0FC7P3WT3 Galaxy S25 FE Case at $26.9900 per unit, totaling $53.98, and 1.0000 unit of B0FL777BBQ Screen Protector 3/Pack at $8.9900 per unit, totaling $8.99. The total order value is $62.97. Materials are subject to state inspection and approval, with defective items to be held pending resolution or returned at the vendor's expense. All shipments must include a packing list, and invoices must reference the Federal Taxpayer Identification Number for payment processing.