4800130730.pdf

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Attached to
PO NE|4800130730
Contract number
4800130730
Issued by
Nebraska

About this file

This document is a Purchase Order issued by the University of Nebraska Medical Center (UNMC), located in Omaha, Nebraska, to Columbia Dentoform Corp, a vendor based in Malvern, Pennsylvania. The purchase order is for the University of Nebraska's College of Dentistry and involves a procurement transaction with a specific vendor identification number (142420).

The purchase order details the acquisition of dental training equipment, specifically various teeth and a mandibular shroud for a 1560 Dentoform model. The order includes 28 units each of #12, #13, #29, #30, and #31 teeth, 2 units of #19 teeth, and 5 mandibular shrouds. The unit prices range from $2.87 for teeth to $37.10 for the mandibular shroud, with a total purchase order amount of $593.04. The delivery is scheduled for September 2, 2025, to be delivered to the UNMC College of Dentistry in Lincoln, Nebraska, with the unloading point specified as Mitchell Emmons. The purchasing terms are net/receipt of goods/invoice, and the order is governed by the University of Nebraska's standard terms of purchase.

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Text version

Your ref.:ARIBA_P2P

001 28 EA #12 TOOTH FOR 1560 DENTOFORM 2.87 80.36

Your material number: 1156012

002 28 EA #13 TOOTH FOR 1560 DENTOFORM 2.87 80.36

Your material number: 1156013

003 28 EA #29 TOOTH FOR 1560 DENTOFORM 2.87 80.36

Your material number: 1156029

004 28 EA #30 TOOTH FOR 1560 DENTOFORM 2.87 80.36

Your material number: 1156030

005 28 EA #31 TOOTH FOR 1560 DENTOFORM 2.87 80.36

Your material number: 1156031

006 2 EA #19 TOOTH FOR 1560 DENTOFORM 2.87 5.74

Your material number: 1156019

007 5 EA MANDIBULAR SHROUD FOR 1560 DENTOFORM 37.10 185.50

Your material number: 1MG862

Vendor: 142420

COLUMBIA DENTOFORM CORP

**ACH**

301 LINDENWOOD DR STE 100

MALVERN PA 19355

MATERIAL

NUMBERLN# QTY ORD UNIT ITEM DESCRIPTION UNIT COST TOTAL COST

Please Deliver To:

UNMC COLL OF DENTISTRY

COLLEGE OF DENTISTRY

4000 E CAMPUS LOOP RM 1509

LINCOLN NE 68583-0741

Delivery Date: 09/02/2025

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: Mitchell Emmons

4800130730 / 07/30/2025 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 593.04

QUOTE NUMBER

Purchasing Authority:

Net/Rcpt of Gds/Inv

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 .