4800181632.pdf

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Attached to
PO NE|4800181632
Contract number
4800181632
Issued by
Nebraska

About this file

This is a Purchase Order issued by the University of Nebraska Medical Center (UNMC) College of Dentistry to Ultradent Products Inc, a dental supplies vendor based in St. Louis, Missouri. The order was placed on February 24, 2026, with delivery scheduled for March 4, 2026, to the College of Dentistry at the Lincoln campus. The purchase order is governed by the University of Nebraska's Standard Terms of Purchase and is subject to Net 30 payment terms with F.O.B. destination shipping.

The purchase order encompasses five line items of dental consumable products totaling $765.19. The items include one unit of Blue Micro Tips 500-pack ($52.49), ten units of Jiffy Polisher Points Medium 12-pack ($230.70), six units each of PermaFlo A2 and A3 refill syringes ($186.00 each), and four units of ViscoStat Clear IndiSpense refill ($110.00). All items are designated for delivery to the Central Dispensary unloading point. The University's tax-exempt status number (05-8905401) is cited, and payment will be directed to the University of Nebraska Medical Center Accounts Payable office in Omaha. Vendor acknowledgment of the order is required within ten days of the order date.

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Text version

Your ref.:ARIBA_P2P

001 1 EA Blue Micro Tips 500pk 52.49 52.49

Your material number: 1436 002 10 EA Jiffy Polisher Points, Medium 12pk 23.07 230.70

Your material number: 7020 003 6 EA PermaFlo A2 Refill 2 1.2ml syringes 31.00 186.00

Your material number: 948 004 6 EA PermaFlo A3 Refill 2 1.2ml syringes 31.00 186.00

Your material number: 949 005 4 EA ViscoStat Clear IndiSpense Refill 30ml I 27.50 110.00

Your material number: 6408

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 COLL OF DENTISTRY

COLLEGE OF DENTISTRY

4000 E CAMPUS LOOP RM 1509

LINCOLN NE 68583-0741

Delivery Date: 03/04/2026

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: CENT DISP

4800181632 / 02/24/2026 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

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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 765.19

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 .