6259-1929-99 updated quote.pdf
PDF 79 KB Posted
- Contract number
- 25-416CMS-BOSS4-P-90929
- Issued by
- Illinois
About this file
This is a Sales Quotation issued by Fisher Scientific Company LLC, a subsidiary of Thermo Fisher Scientific, dated September 16, 2026, for Alton Mental Health Center located in Alton, Illinois. The quote was prepared for Mike Gerulis and is referenced to customer account number 109121-001, with sales representative Michael Gerulis facilitating the transaction.
The quotation encompasses 44 line items of dental and medical supplies with a merchandise total of $5,939.81. The products include dental materials (cotton rolls, eugenol, superpaste ZOE impression material, sutures in various types), dental equipment (amalgamator, ultrasonic cleaner, scaler), sterilization and infection control supplies (pouches, steam indicators, disinfectants), and various disposable items (syringes, needles, saliva ejectors, bibs). Payment terms are NET 30 DAYS with destination delivery specified. The quote is valid through December 31, 2026. Multiple items are designated as hazardous materials and/or medical devices. Returns are subject to manufacturer terms and conditions, and Fisher Scientific offers financing options with low monthly payments available through the local sales representative.
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Text version
TAX REMOVED.
MIKE GERULISTo:
09/16/2026Date:
Message:
FISHER SCIENTIFIC COMPANY LLC
300 INDUSTRY DRIVE
PITTSBURGH PA 15275-0000
Valid To
*Quote Nbr Creation Date Due Date Page
Sales Representative
Prepared By
Payment Terms Delivery Terms
To place an order
Customer Reference
Submitted To: Customer Account: 109121-001
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*Please reference this Quote Number on all correspondence.
fishersci.com
6259-1929-99 09/16/2026 1 of 7
NET 30 DAYS DESTINATION
12/31/2026 BAKER, REGINA C.
MICHAEL GERULISRFQMIKE GERUILIS UPDATED
800-766-7000 800-926-1166
ALTON MENTAL HEALTH
CENTER
4500 COLLEGE AVE
ALTON IL 62002
Sales Quotation
Ph: Fx:
MIKE GERULIS
REGINA.BAKER@THERMOFISHER.COM
815-293-6017
For complete Terms and Conditions, please click here.
Click here or go through your purchasing system to fishersci.com quotes
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Nbr Qty UN Catalog Number Description Unit Price
Extended Price
1 1 EA NC4081515 COTTON ROLL 1-1/2 2M 37.91 37.91
Vendor Catalog # 70850073-QT-50135403 Hazardous Material Medical Device
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2 1 EA NC4081531 EUGENOL BOTTLE 50.63 50.63
Vendor Catalog # 70841700-QT-50135403 Hazardous Material
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3 1 EA NC4081544 SUPERPASTE ZOE IMPRESSION MAT 89.25 89.25
Vendor Catalog # 71419290-QT-50135403 Hazardous Material Medical Device
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4 2 EA NC4081546 CORD RETRACT SIL TRAX EPI 10 27.23 54.46
Vendor Catalog # 75553235-QT-50135403 Hazardous Material Medical Device
Blank Line https://www.fishersci.com/store1/quotes/6259192999?tsid=Email_CC_RFQ_SalesQuote_PlaceOrder http://www.fishersci.com/shop/userregistration?enterWOAccNo=WO www.fishersci.com/salesterms
Sales Quotation
6259-1929-99 RFQMIKE GERUILIS UPDATED 2 of 7
Quote Nbr Customer Reference Page
5 1 EA NC4081540 PUMICE MED F GRIT 95.61 95.61
Vendor Catalog # 75157938-QT-50135403 Hazardous Material
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6 1 EA NC4081547 VITREBOND LC LINR/BASE SINGLE 424.24 424.24
Vendor Catalog # 75038930-QT-50135403 Hazardous Material Medical Device
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7 1 EA NC4081549 ETCH ROYALE BULK PK 125.94 125.94
Vendor Catalog # 75897830-QT-50135403 Hazardous Material Medical Device
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8 1 EA NC4081550 BRUSHBOND MAX KIT 279.99 279.99
Vendor Catalog # 71365204-QT-50135403 Hazardous Material Medical Device
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9 2 EA NC4081558 SUTURE SILK C-20 52.91 105.82
Vendor Catalog # 76675979-QT-50135403 Hazardous Material Medical Device
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10 1 EA NC4081552 OMNICHROMA SYRINGE REF 159.10 159.10
Vendor Catalog # 71077825-QT-50135403 Hazardous Material Medical Device
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11 2 EA NC4081562 SUTURE CHROMIC GUT C6 69.23 138.46
Vendor Catalog # 76676241-QT-50135403 Hazardous Material Medical Device
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Nbr Qty UN Catalog Number Description Unit Price
Extended Price
6259-1929-99 RFQMIKE GERUILIS UPDATED 3 of 7
Quote Nbr Customer Reference Page
12 2 EA NC4081567 SUTURE W/NEEDLE NONABSORBABLE 154.49 308.98
Vendor Catalog # 71197177-QT-50135403 Hazardous Material
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13 2 EA NC4081569 TOPICAL ANESTHETIC MINT 13.31 26.62
Vendor Catalog # 70407163-QT-50135403 Hazardous Material
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14 1 EA NC4081578 ACCUJECT NEEDLE PLAS 30GA SHOR 30.88 30.88
Vendor Catalog # 71199520-QT-50135403 Hazardous Material Medical Device
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15 1 EA NC4081555 HEMOBAN GEL 25 ALUMINUM CHLORI 85.98 85.98
Vendor Catalog # 71135110-QT-50135403 Hazardous Material Medical Device
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16 2 EA NC4081560 LOOK SUTURE CHROMIC GUT T-4 66.35 132.70
Vendor Catalog # 76676779-QT-50135403 Hazardous Material Medical Device
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17 1 EA NC4081577 NEEDLE PLAS 400 25/27GA 27 GA 21.35 21.35
Vendor Catalog # 76324123-QT-50135403 Hazardous Material Medical Device
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18 1 EA NC4081581 SANI-CLOTH PLUS 22.65 22.65
Vendor Catalog # 71274083-QT-50135403 Hazardous Material
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Nbr Qty UN Catalog Number Description Unit Price
6259-1929-99 RFQMIKE GERUILIS UPDATED 4 of 7
Quote Nbr Customer Reference Page
19 1 EA NC4081583 CAVICIDE 63.46 63.46
Vendor Catalog # 73070646-QT-50135403 Hazardous Material Medical Device
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20 2 EA NC4081586 BIB-EZE 28.76 57.52
Vendor Catalog # 72269108-QT-50135403 Hazardous Material
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21 1 EA NC4081589 SUPER SANICLOTH 34.55 34.55
Vendor Catalog # 71410851-QT-50135403 Hazardous Material
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22 1 EA NC4081590 AIR/WATER SYRINGE SLEEVE 27.83 27.83
Vendor Catalog # 71104389-QT-50135403 Hazardous Material Medical Device
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23 4 EA NC4081591 LEGACY SALIVA EJECTOR W/ CLEAR 10.55 42.20
Vendor Catalog # 70894105-QT-50135403 Hazardous Material
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24 2 EA NC4081598 TIP HVE COMBINATION D-3 10.88 21.76
Vendor Catalog # 70894220-QT-50135403 Hazardous Material
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25 2 EA NC4081601 SURG HVE 1/4 49.07 98.14
Vendor Catalog # 70894329-QT-50135403 Hazardous Material
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Nbr Qty UN Catalog Number Description Unit Price
6259-1929-99 RFQMIKE GERUILIS UPDATED 5 of 7
Quote Nbr Customer Reference Page
26 1 EA NC4081603 ART PAPER PREMIUM THIN 24.74 24.74
Vendor Catalog # 70830067-QT-50135403 Hazardous Material Medical Device
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27 4 EA NC4081604 MATRIX BAND TOFF 1 0015 5.93 23.72
Vendor Catalog # 70886614-QT-50135403 Hazardous Material
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28 1 EA NC4081607 AMALGAMATOR 944.99 944.99
Vendor Catalog # 70839480-QT-50135403 Hazardous Material
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29 1 EA NC4081602 SURG HVE REG 1/8 45.86 45.86
Vendor Catalog # 70894303-QT-50135403 Hazardous Material
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30 2 EA NC4081608 GC FUJI CAPSULE APPLIER 207.71 415.42
Vendor Catalog # 72088607-QT-50135403 Hazardous Material Medical Device
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31 1 EA NC4081612 APRON LEAD FREE PANORAMIC 8 580.19 580.19
Vendor Catalog # 70826024-QT-50135403 Hazardous Material
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32 1 EA NC4081614 ULTRASONIC CLN SOLENZYMATIC 57.96 57.96
Vendor Catalog # 71116599-QT-50135403 Hazardous Material
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Nbr Qty UN Catalog Number Description Unit Price
6259-1929-99 RFQMIKE GERUILIS UPDATED 6 of 7
Quote Nbr Customer Reference Page
33 1 EA NC4081613 SCALER XDURA DURA POSTERIOR SI 97.11 97.11
Vendor Catalog # 70858159-QT-50135403 Hazardous Material
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34 1 EA NC4081615 SURG MILK 142.99 142.99
Vendor Catalog # 74734539-QT-50135403 Hazardous Material
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35 1 EA NC4081620 SPEED CLEAN 28.23 28.23
Vendor Catalog # 74876504-QT-50135403 Hazardous Material
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36 1 EA NC4081617 VACUKLEEN E2 117.21 117.21
Vendor Catalog # 74489522-QT-50135403 Hazardous Material
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37 1 EA NC4081621 VELOPEX DEV FIX GAL 139.91 139.91
Vendor Catalog # 77057003-QT-50135403 Hazardous Material
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38 4 EA NC4081622 POUCH PL 3-1/2 X 5-1/4 20.23 80.92
Vendor Catalog # 70842617-QT-50135403 Hazardous Material Medical Device
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39 6 EA NC4081625 POUCH PL3-1/2 X 9 20.78 124.68
Vendor Catalog # 70842575-QT-50135403 Hazardous Material Medical Device
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Nbr Qty UN Catalog Number Description Unit Price
6259-1929-99 RFQMIKE GERUILIS UPDATED 7 of 7
Quote Nbr Customer Reference Page
40 4 EA NC4081626 POUCH PL 5-1/4 X 10 30.02 120.08
Vendor Catalog # 70842583-QT-50135403 Hazardous Material Medical Device
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41 2 EA NC4081627 CONFIRM STEAM INDICATOR 155.80 311.60
Vendor Catalog # 72263945-QT-50135403 Hazardous Material Medical Device
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42 1 EA NC4081628 SPARKLE DIA POLISH PASTE KIT 66.19 66.19
Vendor Catalog # 75903000-QT-50135403 Hazardous Material Medical Device
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43 1 EA NC4081629 FLOWABLE 1 SYR ONE 40.99 40.99
Vendor Catalog # 71392430-QT-50135403 Hazardous Material Medical Device
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44 1 EA NC4081630 FLOWABLE 1 SYR TWO 40.99 40.99
Vendor Catalog # 71392422-QT-50135403 Hazardous Material Medical Device
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MERCHANDISE TOTAL 5,939.81
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NOTES:
Returns are subject to manufacturer terms and conditions.
We now offer highly competitive financing with low monthly payments. Please contact your local sales representative for more information.
Blank Line Tell us about your recent customer service experience by completing a short survey. This should take no longer than three minutes. Enter the link into your browser and enter the passcode: USA-PGH-CS2 http://survey.medallia.com/fishersci
Nbr Qty UN Catalog Number Description Unit Price
Extended http://survey.medallia.com/fishersci
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