4800204073.pdf

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Attached to
NE|4800204073
Contract number
4800204073
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 within the University of Nebraska system, to Henry Schein Inc (Dental), a dental and medical supplies vendor located in Melville, New York. The purchase order is dated May 20, 2026, with a requested delivery date of May 27, 2026, to UNMC General Supply in Omaha, Nebraska. The transaction is governed by the Standard Terms of Purchase established by the University of Nebraska Board of Regents.

The purchase order encompasses three line items totaling $1,112.64: ten boxes of cotton tipped applicators in wood handles ($71.00), twenty boxes of Lidocaine HCl 2% with Epinephrine 1:100,000 ($792.40), and twelve boxes of sterilization pouches self-seal 10.5 inches ($249.24). Payment terms are net 30 days, with shipment on a freight prepaid, F.O.B. destination basis. The vendor must acknowledge acceptance within ten days of the order date, and all shipments must include packing slips and display the purchase order number on packages and invoices. UNMC is tax-exempt under ID #05-8905401 and will remit payment via Nebraska State Treasury warrant.

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Text version

Your ref.:ARIBA_P2P

001 10 BOX Cotton Tipped Applicator 3 in Wood Handl 7.10 71.00

Your material number: 1006015 002 20 BOX Lidocaine HCl 2% Epinephrine 1:100,000 1 39.62 792.40

Your material number: 4651205 003 12 BOX Sterilization Pouch Self Seal 10.5 in x 20.77 249.24

Your material number: 1124862

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 General Supply General Supply 601 South Saddle Creek Rd Omaha NE 68106

Delivery Date: 05/27/2026

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: STOCK

4800204073 / 05/20/2026 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 1,112.64

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 .