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LINE ITEM NUMBER
|
COMMODITY TYPE
|
STATE TERM CONTRACT ID
|
AGENCY SOLICITATION NUMBER
|
Quantity |
Unit Price |
Total Unit Price |
|
|
1
|
Dental hygiene and preventive care equipment and supplies
|
42150000-25-MMCAP-ACS
|
|
3.0000
|
$181.2600
|
$543.78
|
| ProFluorid Fluoride Treatment Varnish 5% NaF 0.4 mL Bubblegum 200/Bx |
| Line Item Description: ProFluorid Fluoride Treatment Varnish 5% NaF 0.4 mL Bubblegum 200/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: 64360674240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-06-040000-00 |
| Split Amount: $543.78 |
|
|
|
2
|
Cosmetic dentistry equipment and supplies
|
42150000-25-MMCAP-ACS
|
|
2.0000
|
$44.4000
|
$88.80
|
| 40% Phosphoric Acid Dentin and Enamel Etching Gel 1.2 mL Syringe Kit 12/Bx |
| Line Item Description: 40% Phosphoric Acid Dentin and Enamel Etching Gel 1.2 mL Syringe Kit 12/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: 64360674240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-06-040000-00 |
| Split Amount: $88.80 |
|
|
|
3
|
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: 64360674240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-06-040000-00 |
| Split Amount: $22.12 |
|
|
|
4
|
General dental supplies
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$17.7400
|
$17.74
|
| Prebent Needle Tips Black 22 Gauge 100/Bx |
| Line Item Description: Prebent Needle Tips Black 22 Gauge 100/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: 64360674240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-06-040000-00 |
| Split Amount: $17.74 |
|
|
|
5
|
Dental operatory specific supplies
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$50.5900
|
$50.59
|
| Accessories Assorted Kit Assorted 320/Bx |
| Line Item Description: Accessories Assorted Kit Assorted 320/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: 64360674240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-06-040000-00 |
| Split Amount: $50.59 |
|
|
|
6
|
Dental laboratory and sterilization equipment and supplies
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$36.2400
|
$36.24
|
| Curing Light Shield Universal Disposable 400/Bg |
| Line Item Description: Curing Light Shield Universal Disposable 400/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: 64360674240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-06-040000-00 |
| Split Amount: $36.24 |
|