4800164384.pdf

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Attached to
PO NE|4800164384
Contract number
4800164384
Issued by
Nebraska

About this file

This document is a purchase order issued by the University of Nebraska Medical Center (UNMC) in Omaha, Nebraska, to MedChemExpress LLC, located in Monmouth Junction, New Jersey. The purchase order is numbered 4800164384 and dated 12/09/2025, with a delivery date of 12/16/2025.

The purchase order covers two pharmaceutical items: 1 unit of Doxycycline hyclate 100mg at $50.00 and 1 unit of Daraxonrasib (RMC-6236; RAS-IN-2) 1mg at $140.00, totaling $190.00. The order specifies delivery to UNMC Shipping and Receiving at 601 S Saddle Creek Rd, Omaha, NE, with an unloading point of BCC 8.12.384 AAT Hollings. 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, and UNMC is tax-exempt under number 05-8905401.

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Text version

Your ref.:ARIBA_P2P

001 1 EA Doxycycline hyclate 100mg 50.00 50.00

Your material number: HY-N0565B 002 1 EA Daraxonrasib, RMC-6236; RAS-IN-2. 1mg 140.00 140.00

Your material number: HY-148439

Vendor: 212223

MEDCHEMEXPRESS LLC

1 DEER PARK DR STE F

MONMOUTH JUNCTION NJ 08852

MATERIAL

NUMBERLN# QTY ORD UNIT ITEM DESCRIPTION UNIT COST TOTAL COST

Please Deliver To:

UNMC SHIPPING AND RECEIVING

601 S SADDLE CREEK RD

OMAHA NE 68106

Delivery Date: 12/16/2025

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: BCC 8.12.384 AAT Hollings

4800164384 / 12/09/2025 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 190.00

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 .