4800178864.pdf

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PO NE|4800178864
Contract number
4800178864
Issued by
Nebraska

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This is a Purchase Order issued by the University of Nebraska Medical Center (UNMC) College of Dentistry to Henry Schein Inc (Dental), a vendor located in Melville, New York. The order was placed on February 12, 2026, with delivery required by February 19, 2026. The purchasing authority is on behalf of the Board of Regents of the University of Nebraska, and the order is governed by the Standard Terms of Purchase established by the University of Nebraska.

The purchase order encompasses nine line items of dental supplies and materials totaling $3,006.20. Items include interdental brushes, bone graft composite materials, dental adhesives, syringes, sealants, and absorbent points from various manufacturers such as Fuji, OptiBond, and Monoject. Unit costs range from $4.51 to $358.29, with quantities ordered between one and twenty units per line item. Payment terms are Net 30, with F.O.B. Destination freight prepaid. The order must be shipped to UNMC College of Dentistry at 4000 E Campus Loop, Room 1509, Lincoln, Nebraska, with delivery coordinated through Kathy Gregg. Vendor acknowledgment of order acceptance is required within ten days, and all shipments must include packing slips and display the purchase order number.

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Your ref.:ARIBA_P2P

001 6 BOX GUM Go-Betweens Proxabrush Interdental B 17.97 107.82

Your material number: 7120154 002 20 EA alloOss Crtcl/Cncls Bone Graft Composite 57.49 1,149.80

Your material number: 1405103 003 1 EA Periacryl Adhesive Ea 115.86 115.86

Your material number: 1156181 004 2 PKG OptiBond Solo Plus Adhesive 0.1 mL Unido 358.29 716.58

Your material number: 1233029 005 4 BOX Appli-Vac Bendable Side Vent Irrigating 45.20 180.80

Your material number: 1078612 006 8 BOX Monoject _ Syringe 6cc Low Dead Space 10 21.84 174.72

Your material number: 6942610 007 3 BOX Fuji TRIAGE Pit & Fissure Sealant Capsul 152.26 456.78

Your material number: 3334763 008 10 BOX Absorbent Points #504 200/Bx 4.51 45.10

Your material number: 1003941 009 2 BOX Eclipse Hypodermic Syringe/Needle 25gx5/ 29.37 58.74

Your material number: 9879194

Vendor: 234418

HENRY SCHEIN INC (DENTAL)

135 DURYEA RD

MELVILLE NY 11747

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: 02/19/2026

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: Kathy Gregg

4800178864 / 02/12/2026 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 3,006.20

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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