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LINE ITEM NUMBER
|
COMMODITY TYPE
|
STATE TERM CONTRACT ID
|
AGENCY SOLICITATION NUMBER
|
Quantity |
Unit Price |
Total Unit Price |
|
|
1
|
Dental and subspecialty instrument and device accessories
|
42150000-25-MMCAP-ACS
|
|
10.0000
|
$48.3300
|
$483.30
|
| 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: 64396403240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $483.30 |
|
|
|
2
|
Sympathomimetic or adrenergic drugs
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$7.7700
|
$7.77
|
| Ammonia Inhalant Ampule 0.33mL 10/Bx |
| Line Item Description: Ammonia Inhalant Ampule 0.33mL 10/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: 64396403240 - |
| Object Code and Description: 344001 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $7.77 |
|
|
|
3
|
Gauze sponges
|
42150000-25-MMCAP-ACS
|
|
25.0000
|
$1.2400
|
$31.00
|
| 100% Cotton All-Gauze Sponge 2x2 8 Ply Non-Sterile Square LF |
| Line Item Description: 100% Cotton All-Gauze Sponge 2x2 8 Ply Non-Sterile Square LF |
| 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: 64396403240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $31.00 |
|
|
|
4
|
Dental saliva ejectors or oral suction devices
|
42150000-25-MMCAP-ACS
|
|
12.0000
|
$40.4000
|
$484.80
|
| 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: 64396403240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $484.80 |
|
|
|
5
|
Dental saliva ejectors or oral suction devices
|
42150000-25-MMCAP-ACS
|
|
10.0000
|
$40.4000
|
$404.00
|
| 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: 64396403240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $404.00 |
|
|
|
6
|
Dental saliva ejectors or oral suction devices
|
42150000-25-MMCAP-ACS
|
|
8.0000
|
$40.4000
|
$323.20
|
| 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: 64396403240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $323.20 |
|
|
|
7
|
Dental saliva ejectors or oral suction devices
|
42150000-25-MMCAP-ACS
|
|
5.0000
|
$40.4000
|
$202.00
|
| DryShield Disposable Mouthpieces Pedodontic 20/Bx |
| Line Item Description: DryShield Disposable Mouthpieces Pedodontic 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: 64396403240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $202.00 |
|