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LINE ITEM NUMBER
|
COMMODITY TYPE
|
STATE TERM CONTRACT ID
|
AGENCY SOLICITATION NUMBER
|
Quantity |
Unit Price |
Total Unit Price |
|
|
1
|
Dental operatory specific supplies
|
42150000-20-MMCAP-ACS
|
|
8.0000
|
$109.0700
|
$872.56
|
| Grandio Capsules 0.25 gm A2 |
| Line Item Description: Grandio Capsules 0.25 gm A2 |
| Method of Procurement: Alternate contract source [s. 287.042(16), F.S.] & [Rule 60A-1.045, F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64396409240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $872.56 |
|
|
|
2
|
Dental operatory specific supplies
|
42150000-20-MMCAP-ACS
|
|
8.0000
|
$41.9900
|
$335.92
|
| Lidocaine HCl 2% Epinephrine 1:100,000 1.7 mL 50/Bx |
| Line Item Description: Lidocaine HCl 2% Epinephrine 1:100,000 1.7 mL 50/Bx |
| Method of Procurement: Alternate contract source [s. 287.042(16), F.S.] & [Rule 60A-1.045, F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64396409240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $335.92 |
|
|
|
3
|
Dental operatory specific supplies
|
42150000-20-MMCAP-ACS
|
|
6.0000
|
$38.9900
|
$233.94
|
| DryShield Disposable Mouthpieces Large 20/Bx |
| Line Item Description: DryShield Disposable Mouthpieces Large 20/Bx |
| Method of Procurement: Alternate contract source [s. 287.042(16), F.S.] & [Rule 60A-1.045, F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64396409240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $233.94 |
|
|
|
4
|
Dental operatory specific supplies
|
42150000-20-MMCAP-ACS
|
|
15.0000
|
$38.9900
|
$584.85
|
| DryShield Disposable Mouthpieces medium 20/Bx |
| Line Item Description: DryShield Disposable Mouthpieces medium 20/Bx |
| Method of Procurement: Alternate contract source [s. 287.042(16), F.S.] & [Rule 60A-1.045, F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64396409240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $584.85 |
|
|
|
5
|
Dental operatory specific supplies
|
42150000-20-MMCAP-ACS
|
|
8.0000
|
$38.9900
|
$311.92
|
| DryShield Disposable Mouthpieces small 20/Bx |
| Line Item Description: DryShield Disposable Mouthpieces small 20/Bx |
| Method of Procurement: Alternate contract source [s. 287.042(16), F.S.] & [Rule 60A-1.045, F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64396409240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $311.92 |
|
|
|
6
|
Dental operatory specific supplies
|
42150000-20-MMCAP-ACS
|
|
4.0000
|
$38.9900
|
$155.96
|
| DryShield Disposable Mouthpieces pedo 20/Bx |
| Line Item Description: DryShield Disposable Mouthpieces pedo 20/Bx |
| Method of Procurement: Alternate contract source [s. 287.042(16), F.S.] & [Rule 60A-1.045, F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64396409240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $155.96 |
|