4800164882.pdf
PDF 26 KB Posted
- Attached to
- PO NE|4800164882
- Contract number
- 4800164882
- 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 Ortho Solutions DynaFlex, a vendor based in Lake St. Louis, Missouri. The purchase order is addressed to the UNMC College of Dentistry in Lincoln, Nebraska, and is identified by the reference number 4800164882, dated 12/11/2025.
The purchase order includes five line items: two sets of bonding trays (material numbers 1888-11 and 1888-21) at $37.79 each, totaling $75.58; two mouthguards (material numbers 1335-SI and 1335-B) at $40.94 each, totaling $81.88; and two toothbrushes (material number O-100-1116) at $22.56 each, totaling $45.12. The total purchase order value is $278.16, with payment terms of Net 30 and F.O.B. destination. The delivery date is set for 12/23/2025, with the unloading point specified as Shuntell Karpisek. The purchase order is tax-exempt under number 05-8905401 and is governed by the University of Nebraska's Standard Terms of Purchase.
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Text version
Your ref.:ARIBA_P2P
001 2 EA Bonding Trays 37.79 75.58
Your material number: 1888-11 002 2 EA Bonding Trays 37.79 75.58
Your material number: 1888-21 003 1 EA Mouthguard 40.94 40.94
Your material number: 1335-SI 004 1 EA Mouthguard 40.94 40.94
Your material number: 1335-B 005 2 EA Toothbrush 22.56 45.12
Your material number: O-100-1116
Vendor: 153316
ORTHO SOLUTIONS
DYNAFLEX
8050 HAWK RIDGE TRL
LAKE ST LOUIS MO 63367
A*
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: 12/23/2025
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: Shuntell Karpisek
4800164882 / 12/11/2025 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 278.16
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 .