4800178529.pdf

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Attached to
PO NE|4800178529
Contract number
4800178529
Issued by
Nebraska

About this file

This is a Purchase Order issued by the University of Nebraska Medical Center (UNMC) to Patterson Dental Supply Inc., a dental supplies vendor located in Chicago, Illinois. The order is directed to the UNMC MMI Dental Clinic at the Munroe-Meyer Institute in Omaha, Nebraska, with a requested delivery date of February 18, 2026. The purchasing authority acts on behalf of the Board of Regents of the University of Nebraska.

The order comprises nine line items totaling $1,244.66 and includes various dental materials and supplies: Surgifoam Absorbable Gelatin Sponges ($251.21), iStar Prophy Sleeves ($91.90), TPH Spectra ST Universal Composite Resin (two line items totaling $327.42), BEAUTIFIL Flow Plus Hybrid Restorative in four separate quantities (totaling $409.44), and GC FujiCEM Glass Ionomer Cement ($164.69). Payment terms are Net 30, with F.O.B. destination and freight prepaid by the vendor. The purchase order number must appear on all packages, invoices, and related documents, and the vendor is required to acknowledge acceptance within ten days of the order date. The UNMC tax exemption number is 05-8905401.

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Your ref.:ARIBA_P2P

001 1 EA Surgifoam® Absorbable Gelatin Sponges, U 251.21 251.21

Your material number: 74088712 002 1 EA iStar Prophy Sleeves # Single Use, 500/P 91.90 91.90

Your material number: 70412114 003 3 EA TPH Spectra® ST Universal Composite Rest 54.57 163.71

Your material number: 70863936 004 3 EA TPH Spectra® ST Universal Composite Rest 54.57 163.71

Your material number: 70863944 005 3 EA BEAUTIFIL® Flow Plus Hybrid Restorative, 34.12 102.36

Your material number: 76219745 006 3 EA BEAUTIFIL® Flow Plus Hybrid Restorative, 34.12 102.36

Your material number: 76219752 007 3 EA BEAUTIFIL Flow Plus Hybrid Restorative, 34.12 102.36

Your material number: 76219851 008 3 EA BEAUTIFIL® Flow Plus Hybrid Restorative, 34.12 102.36

Your material number: 76219869 009 1 EA GC FujiCEM# 2 Glass Ionomer Cement Refil 164.69 164.69

Your material number: 70421917

Vendor: 136978

PATTERSON DENTAL SUPPLY INC

28244 NETWORK PL

CHICAGO IL 60673-1282

MATERIAL

NUMBERLN# QTY ORD UNIT ITEM DESCRIPTION UNIT COST TOTAL COST

Please Deliver To:

UNMC MMI DENTAL CLINIC

UNMC MUNROE-MEYER INSTITUTE

6902 PINE ST

OMAHA NE 68106

Delivery Date: 02/18/2026

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: 2nd Floor Dental

4800178529 / 02/11/2026 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 1,244.66

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.

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