4800180844.pdf
PDF 24 KB Posted
- Attached to
- PO NE|4800180844
- Contract number
- 4800180844
- Issued by
- Nebraska
About this file
Purchase Order Summary
This is a Purchase Order issued by the University of Nebraska Medical Center (UNMC), a state agency located in Omaha, Nebraska, to Ultradent Products Inc., a vendor based in St. Louis, Missouri. The purchase order is identified by reference number 4800180844 and was issued on February 19, 2026. The ordering entity is the UNMC COD West Division Dental Hygiene Program located in Gering, Nebraska. The purchase order is governed by the Standard Terms of Purchase of the University of Nebraska unless an alternative agreement exists between the vendor and the Board of Regents of the University of Nebraska.
The purchase order covers two dental products: one unit of Ultra-Etch Refill (material number 164) at a unit cost of $15.50, and one unit of UltraSeal XT Hydro Opaque White Refill (material number 3534) at a unit cost of $54.50. The total purchase order value is $70.00. Payment terms are Net 30 days. Delivery is scheduled for February 26, 2026, with freight to be prepaid and delivered F.O.B. destination to Nicole Baker at the UNMC COD West Division facility in Gering, Nebraska. The University of Nebraska is tax-exempt under exemption number 05-8905401 and payment will be made through Nebraska State Treasury warrants.
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Text version
Your ref.:ARIBA_P2P
001 1 EA Ultra-Etch Refill 15.50 15.50
Your material number: 164 002 1 EA UltraSeal XT Hydro Opaque White Refill 54.50 54.50
Your material number: 3534
Vendor: 123453
ULTRADENT PRODUCTS INC
PO BOX 952648
ST LOUIS MO 63195-2648
MATERIAL
NUMBERLN# QTY ORD UNIT ITEM DESCRIPTION UNIT COST TOTAL COST
Please Deliver To:
UNMC COD WEST DIVISION DH PROGRAM
955 EAST COUNTRY CLUB ROAD STE C
GERING NE 69341
Delivery Date: 02/26/2026
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: Nicole Baker
4800180844 / 02/19/2026 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 70.00
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.
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