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LINE ITEM NUMBER
|
COMMODITY TYPE
|
STATE TERM CONTRACT ID
|
AGENCY SOLICITATION NUMBER
|
Quantity |
Unit Price |
Total Unit Price |
|
|
1
|
Dental materials
|
42150000-25-MMCAP-ACS
|
|
4.0000
|
$308.1300
|
$1,232.52
|
| GC Fuji II LC Glass Ionomer Capsule A2 Refill 48/Bx |
| Line Item Description: GC Fuji II LC Glass Ionomer Capsule A2 Refill 48/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: 64360671240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-06-040000-00 |
| Split Amount: $1,232.52 |
|
|
|
2
|
Dental burs
|
42150000-25-MMCAP-ACS
|
|
2.0000
|
$276.4100
|
$552.82
|
| NTI Carbide Bur Operative Right Angle 2 100/Pk |
| Line Item Description: NTI Carbide Bur Operative Right Angle 2 100/Pk |
| 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: 64360671240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-06-040000-00 |
| Split Amount: $552.82 |
|
|
|
3
|
Dental and subspecialty instrument and device sets
|
42150000-25-MMCAP-ACS
|
|
2.0000
|
$68.7200
|
$137.44
|
| Pro-Matrix Straight Matrix Band 50/Bx |
| Line Item Description: Pro-Matrix Straight Matrix Band 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: 64360671240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-06-040000-00 |
| Split Amount: $137.44 |
|
|
|
4
|
Medical catheter tip syringes
|
42150000-25-MMCAP-ACS
|
|
4.0000
|
$42.1300
|
$168.52
|
| Sure Tip Colors HSI Air / Water Tip Assorted 250/Bg |
| Line Item Description: Sure Tip Colors HSI Air / Water Tip Assorted 250/Bg |
| 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: 64360671240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-06-040000-00 |
| Split Amount: $168.52 |
|
|
|
5
|
Mouthwash
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$22.1200
|
$22.12
|
| Crest Pro-Health Fresh Mint Mouthwash 1 Liter Bottle 6/Ca |
| Line Item Description: Crest Pro-Health Fresh Mint Mouthwash 1 Liter Bottle 6/Ca |
| 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: 64360671240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-06-040000-00 |
| Split Amount: $22.12 |
|
|
|
6
|
Dental hygiene and preventive care equipment and supplies
|
42150000-25-MMCAP-ACS
|
|
2.0000
|
$10.9400
|
$21.88
|
| NUPRO CHX Oral Rinse 16 oz Mint 16oz/Bt |
| Line Item Description: NUPRO CHX Oral Rinse 16 oz Mint 16oz/Bt |
| 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: 64360671240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-06-040000-00 |
| Split Amount: $21.88 |
|
|
|
7
|
Dental and subspecialty instrument and device accessories
|
42150000-25-MMCAP-ACS
|
|
2.0000
|
$134.4300
|
$268.86
|
| Evac-U-Trap Vacuum Trap Model 2300 3 1/2 in x 4 3/8 in 8/Bx |
| Line Item Description: Evac-U-Trap Vacuum Trap Model 2300 3 1/2 in x 4 3/8 in 8/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: 64360671240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-06-040000-00 |
| Split Amount: $268.86 |
|