4800191302.pdf

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Attached to
PO NE|4800191302
Contract number
4800191302
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 vendor located in St. Louis, Missouri. The order is governed by the Standard Terms of Purchase of the University of Nebraska, with the University of Nebraska Board of Regents serving as the purchasing authority. The purchase order reference number is 4800191302, dated April 1, 2026, with delivery scheduled for April 8, 2026 to the College of Dentistry location in Lincoln, Nebraska.

The purchase order encompasses seven line items totaling $4,411.20 for dental supply materials, including 25 units of 5ml syringes with mixing tips ($906.25), 30 units of Jiffy Composite Polishing Brushes Regular ($1,784.10), 20 units of Jiffy Composite Polishing Brushes Point ($1,189.40), 3 units of 1.2ml plastic syringes 100-pack ($127.71), 1 unit of Black Mini Tips 500-pack ($131.25), 1 unit of Blue Micro Tips 500-pack ($52.49), and 8 units of ViscoStat Clear IndiSpense Refill 30ml ($220.00). Payment terms are Net 30 with F.O.B. Destination freight prepaid, and the vendor is required to acknowledge acceptance within 10 days of the order date. The tax-exempt billing address is provided as University of Nebraska Medical Center Accounts Payable in Omaha, Nebraska.

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Text version

Your ref.:ARIBA_P2P

001 25 EA 1 5ml syringe, 20 Mixing tips 36.25 906.25

Your material number: 5916 002 30 EA Jiffy Composite Polishing Brushes, Regul 59.47 1,784.10

Your material number: 850 003 20 EA Jiffy Composite Polishing Brushes, Point 59.47 1,189.40

Your material number: 1009 004 3 EA 1.2ml Plastic Syringe 100pk 42.57 127.71

Your material number: 157 005 1 EA Black Mini Tips 500pk 131.25 131.25

Your material number: 1433 006 1 EA Blue Micro Tips 500pk 52.49 52.49

Your material number: 1436 007 8 EA ViscoStat Clear IndiSpense Refill 30ml I 27.50 220.00

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: 04/08/2026

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

4800191302 / 04/01/2026 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 4,411.20

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.

File details come from the government source that posted it. Updated .