4800130341.pdf

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Attached to
PO NE|4800130341
Contract number
4800130341
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 Amazon Capital Services Inc., headquartered in Seattle, Washington. The purchase order is identified by the number 4800130341 and dated 07/29/2025, with a tax-exempt status under ID #05-8905401.

The purchase order is for one (1) ComplyRight UB-04 Hospital Claim Envelope, with a unit cost and total cost of $85.75. The delivery is scheduled for 08/06/2025 to UNMC Shipping and Receiving at 601 South Saddle Creek Rd, Omaha, NE 68106, with an unloading point specified as 4230 Bldg 3rd Floor Room. The terms of sale are Net 30, and the purchase is F.O.B. destination with freight prepaid. The order is governed by the University of Nebraska's Standard Terms of Purchase, which can be found at http://www.nebraska.edu/terms-of-purchase.

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Text version

Your ref.:ARIBA_P2P

001 1 EA ComplyRight UB-04 Hospital Claim Envelop 85.75 85.75

Your material number: B09ZKCXWC3

Vendor: 234098

AMAZON CAPITAL SERVICES INC

PO BOX 81207

SEATTLE WA 98108-1207

MATERIAL

NUMBERLN# QTY ORD UNIT ITEM DESCRIPTION UNIT COST TOTAL COST

Please Deliver To:

UNMC SHIPPING AND RECEIVING

601 SOUTH SADDLE CREEK RD

OMAHA NE 68106

Delivery Date: 08/06/2025

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.

Unloading Point: 4230 Bldg 3rd Floor Room

4800130341 / 07/29/2025 Contact Person/Telephone

Dept Buyer / 402-472-2126

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 85.75

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.

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