4600060191.pdf

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Attached to
PO NE|4900003820
Contract number
4900003820
Issued by
Nebraska

About this file

This document is a Purchase Order (PO) issued by the University of Nebraska Medical Center (UNMC), located in Omaha, Nebraska, to Henry Schein Inc., a vendor based in Palatine, Illinois. The PO is specifically for the UNMC College of Dentistry, with a delivery address in Lincoln, Nebraska. The purchase order is numbered 4600060191 and dated 12/03/2025, with the university's tax-exempt status noted.

The purchase order details four line items of dental supplies: 16 units of disposable plastic evacuator tips (50 per bag) at $1.14 each, totaling $18.24; 2 packages of Permite 2-spill regular set amalgam (500 per package) at $1,167.26 each, totaling $2,334.52; 8 boxes of Citrisil shock cleaning tablets (20 per box) at $35.72 each, totaling $285.76; and 12 packs of EXA Advanced Injection Body Value at $75.78 each, totaling $909.36. The total purchase order amount is $3,547.88, with payment terms set at Net 30 and F.O.B. origin. The order is governed by the University of Nebraska's Standard Terms of Purchase.

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Text version

001 16 EA 103109 TIP; EVACUATOR, DISPOSABLE PLASTIC 50/BG 1.14 18.24

100-4568

002 2 PKG 124347 AMALGAM; PERMITE 2-SPILL REG SET 500/PKG 1,167.26 2,334.52

164-0071

003 8 BOX 135613 CLEANER; CITRISIL SHOCK TABLETS 20/BX 35.72 285.76

133-8446

004 12 PAC 139353 EXA ADVANCED INJECTION BODY VALUE PK 75.78 909.36

142-1388

Vendor: 500601

HENRY SCHEIN INC

DEPT CH 10241

PALATINE IL 60055-0241

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

ORIGIN

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

4600060191 / 12/03/2025 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 3,547.88

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 .