4800221553.pdf

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Attached to
PO NE|4800221553
Contract number
4800221553
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, to DENTSPLY SIRONA INC and DENTSPLY NORTH AMERICA LLC, a dental equipment supplier located in Charlotte, North Carolina. The order was placed on July 29, 2026, with delivery scheduled for August 5, 2026, to UNMC General Supply in Omaha, Nebraska. The purchase order is governed by the Standard Terms of Purchase established by the University of Nebraska and the Board of Regents.

The order consists of three line items totaling $1,344.48: 10 units of 30K FSI-Slimline-10S inserts (material number 80395) at $84.03 per unit for $840.30; 3 units of 30K FSI-Slimline-10L inserts (material number 80396) at $84.03 per unit for $252.09; and 3 units of 30K FSI-Slimline-10R inserts (material number 80397) at $84.03 per unit for $252.09. All items are dental inserts packaged for distribution. Payment terms are Net 30, with shipping F.O.B. destination, freight prepaid. The University of Nebraska's tax-exempt number is 05-8905401, and all invoices and related documentation must reference the purchase order number for prompt payment processing.

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Your ref.:ARIBA_P2P

001 10 EA 30K FSI-Slimline-10S INSERT,PKD 84.03 840.30

Your material number: 80395 002 3 EA 30K FSI-Slimline-10L INSERT,PKD 84.03 252.09

Your material number: 80396 003 3 EA 30K FSI-Slimline-10R INSERT,PKD 84.03 252.09

Your material number: 80397

Vendor: 188618

DENTSPLY SIRONA INC

DENTSPLY NORTH AMERICA LLC

13320-B BALLANTYNE CORPORATE PLACE

CHARLOTTE NC 28277

A*

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: 08/05/2026

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: RHONDA

4800221553 / 07/29/2026 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 1,344.48

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 .