4800182693.pdf

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Attached to
PO NE|4800182693
Contract number
4800182693
Issued by
Nebraska

About this file

This is a Purchase Order issued by the University of Nebraska Medical Center (UNMC) Accounts Payable department to Patterson Dental Supply Inc., a vendor located in Chicago, Illinois. The purchase order, numbered 4800182693 and dated February 26, 2026, is for delivery to the Pediatric Dental Clinic-Children's NE located in Omaha, Nebraska. The order is governed by the Standard Terms of Purchase established by the University of Nebraska Board of Regents, with payment terms of Net 30 and F.O.B. destination freight prepaid. The tax-exempt entity (Tax ID #05-8905401) requires vendor acknowledgment within 10 days of the order date and mandates that the purchase order number appear on all packages, invoices, and related documents.

The purchase order encompasses eighteen line items totaling $2,045.93 and includes dental supplies, sterilization equipment, personal protective equipment, and oral hygiene products. Key items include Patterson Premium Patient Bibs (three cases at $31.50 each), Lavender Nitrile Exam Gloves (fourteen boxes at $11.82 each), sterilization wraps and indicators, Septocaine anesthetic solution, GC FujiCEM glass ionomer cement, Purell hand sanitizing wipes, Beautifil Flow needle tips, Crest toothpaste and oral care products, and Oral-B toothbrushes. The delivery date is scheduled for March 2, 2026, with the unloading point contact designated as Berenice Y Orellana. All shipments must be accompanied by packing slips to ensure prompt payment processing.

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Your ref.:ARIBA_P2P

001 1 CS Patterson® Premium Patient Bibs # 13&#34 31.50 31.50

Your material number: 071437524 002 1 CS Patterson® Premium Patient Bibs # 13&#34 31.50 31.50

Your material number: 071437490 003 1 CS Patterson® Premium Patient Bibs # 13&#34 31.50 31.50

Your material number: 071437474 004 4 BOX Lavender Nitrile Exam Gloves # Powder Fr 11.82 47.28

Your material number: 076201297 005 4 EA Patterson® Lead-Free Autoclave Indicator 6.23 24.92

Your material number: 071186931 006 1 BAG Attest# Steam Chemical Type 5 Integrator 13.92 13.92

Your material number: 071250356 007 10 BOX Lavender Nitrile Exam Gloves # Powder Fr 11.82 118.20

Your material number: 076201289 008 1 CS Patterson Nonwoven Gauze Sponges # Nonst 47.36 47.36

Your material number: 070896167 009 2 CS Patterson® Sterilization Wraps, 1 Ply - 152.91 305.82

Your material number: 071074079 010 4 EA Purell® Hand Sanitizing Wipes, 175/Canis 11.54 46.16

Your material number: 071110717 011 2 PKG GC FujiCEM# 2 Glass Ionomer Cement Refil 164.69 329.38

Your material number: 070421917 012 2 EA Septocaine® 4% Articaine HCl with Epinep 67.16 134.32

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:

PEDIATRIC DENTAL CLINIC-CHILDRENS NE

8200 DODGE ST 2ND FLR

OMAHA NE 68114

Delivery Date: 03/02/2026

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: Berenice Y Orellana

4800182693 / 02/26/2026 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 / 2

TO ASSURE PROMPT PAYMENT THE PURCHASE ORDER NUMBER MUST APPEAR

ON ALL PACKAGES, INVOICES, AND RELATED DOCUMENTS. PACKING SLIPS

MUST ACCOMPANY ALL SHIPMENTS.

CONTINUED ON NEXT PAGE

QUOTE NUMBER

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.

Your material number: 076314397 013 6 PKG Beautifil® Flow Needle Tips, 50/Pkg 16.32 97.92

Your material number: 076220420 014 4 BOX ProChek® ID Process Indicator Strips for 17.06 68.24

Your material number: 072264240 015 1 PKG Aquasafe# Water Test Kits - 12-Unit Test 154.04 154.04

Your material number: 073521572 016 4 CS Crest® Extra White Plus Scope Outlast# T 27.58 110.32

Your material number: 075496211 017 5 CS Crest® Oral-B® Kid’s 6+ Years Gala 64.31 321.55

Your material number: 071360510 018 20 PKG Oral-B® Toothbrush # Babies 0-2 Years, W 6.60 132.00

Your material number: 075497821

Vendor: 136978

PATTERSON DENTAL SUPPLY INC

28244 NETWORK PL

CHICAGO IL 60673-1282

MATERIAL

NUMBERLN# QTY ORD UNIT ITEM DESCRIPTION UNIT COST TOTAL COST

4800182693 / 02/26/2026

Page 2 / 2

P.O. TOTAL 2,045.93 Purchasing Authority:

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