4800207699.pdf

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Attached to
PO NE|4800207699
Contract number
4800207699
Issued by
Nebraska

About this file

This is a Purchase Order issued by the University of Nebraska Medical Center (UNMC) to Henry Schein Inc (Dental), a dental supply vendor located in Melville, New York. The order is dated June 4, 2026, with delivery scheduled for June 11, 2026, to UNMC General Supply in Omaha, Nebraska. The purchasing authority is designated as "On behalf of the BOR of UN" (Board of Regents of the University of Nebraska).

The purchase order covers five line items of dental supplies and equipment with a total contract value of $1,372.15. The items include four boxes of stainless steel sterile scalpel blades (#1) at $74.60 per box ($298.40 total); one unit of Periacryl adhesive at $130.22; six packages of Safe-Tips EZ Air/Water tips at $53.09 per package ($318.54 total); three boxes of Fuji TRIAGE pit and fissure sealant capsules at $152.26 per box ($456.78 total); and three units of 3M RelyX fiber post drill refill size at $56.07 per unit ($168.21 total). Payment terms are Net 30, with F.O.B. destination freight prepaid. The order references UNMC's tax-exempt status (#05-8905401) and requires vendor acknowledgment within ten days of the order date.

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Your ref.:ARIBA_P2P

001 4 BOX Stainless Steel Sterile Scalpel Blade #1 74.60 298.40

Your material number: 1079176 002 1 EA Periacryl Adhesive Ea 130.22 130.22

Your material number: 1156181 003 6 PKG Safe-Tips EZ Air / Water Tip White 150/P 53.09 318.54

Your material number: 1016183 004 3 BOX Fuji TRIAGE Pit & Fissure Sealant Capsul 152.26 456.78

Your material number: 3334763 005 3 EA 3M# RelyX# Fiber Post Drill Refill Size 56.07 168.21

Your material number: 7774444

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: 06/11/2026

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: Kathy Gregg

4800207699 / 06/04/2026 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 1,372.15

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 .