4600060113.pdf

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PO NE|4600060113
Contract number
4600060113
Issued by
Nebraska

About this file

This document is a University of Nebraska Medical Center (UNMC) Purchase Order (PO) issued to Sultan Healthcare Inc., located in Pasadena, CA. The PO is for the UNMC College of Dentistry, with a delivery destination in Lincoln, NE. The purchase order is dated 09/24/2025, with a specified delivery date of 10/08/2025, and is processed under the university's tax-exempt status #05-8905401.

The purchase order includes two line items: 18 boxes of Assure Plus 10 x 16 bags (200/box) at $52.34 per box, totaling $942.12, and 12 gallons of Sporox II (4/case) at $36.23 per gallon, totaling $434.76. The total purchase order amount is $1,376.88, with payment terms set at Net 30. The order is governed by the University of Nebraska's Standard Terms of Purchase, and all shipments are to be made F.O.B. destination, freight prepaid. The purchasing authority is noted as "On behalf of the BOR of UN" (Board of Regents of the University of Nebraska).

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001 18 BOX 139001 BAGS; ASSURE PLUS 10 X 16 200/BX 52.34 942.12

83020FG

002 12 GAL 139054 SPOROX II GAL 4/CS 36.23 434.76

075156FG

Vendor: 189632

SULTAN HEALTHCARE INC

DS HEALTHCARE DEPT SUL

PO BOX 31001-1205

PASADENA CA 91110-1205

MATERIAL

NUMBERLN# QTY ORD UNIT ITEM DESCRIPTION UNIT COST TOTAL COST

Please Deliver To:

UNMC College of Dentistry UNMC Dentistry

4000 E CAMPUS LOOP RM 1509

Lincoln NE 68583-0741

Delivery Date: 10/08/2025

DESTINATION

F.O.B.

INSTRUCTIONS AND CONDITIONS

1. Please acknowledge acceptance of this within 10 days of the order 3. Nebraska State Treasury warrants without exchange must be date. accepted in payment of all claims against the University.

2. Mark and ship packages as shown in rectangle in upper right 4. All shipments are to be made F.O.B. destination, freight prepaid corner unless indicated. unless otherwise indicated on this form.

UofN Stock PO

PO Number/Date

4600060113 / 09/24/2025 Contact Person/Telephone

Do Not Use (PKM) / 402-559-5400

Tax Exempt #05-8905401 UNMC Billing Address:

University of Nebraska Medical Center Accounts Payable 985040 Nebraska Medical Center Omaha, NE 68198-5040

Page 1 / 1

TO ASSURE PROMPT PAYMENT THE PURCHASE ORDER NUMBER MUST APPEAR

ON ALL PACKAGES, INVOICES, AND RELATED DOCUMENTS. PACKING SLIPS

MUST ACCOMPANY ALL SHIPMENTS.

P.O. TOTAL 1,376.88

QUOTE NUMBER

Purchasing Authority:

Net 30

TERMS OF SALE

This purchase order is governed by the Standard Terms of Purchase at http://www.nebraska.edu/terms-of-purchase, unless an agreement referenced in the item description is effective between the vendor and the Board of Regents of the University of Nebraska, in which case such agreement shall govern.

CAMPUS ZIP :

File details come from the government source that posted it. Updated .