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LINE ITEM NUMBER
|
COMMODITY TYPE
|
STATE TERM CONTRACT ID
|
AGENCY SOLICITATION NUMBER
|
Quantity |
Unit Price |
Total Unit Price |
|
|
1
|
Medical Equipment and Accessories and Supplies
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$107.9900
|
$107.99
|
| Filter 6/Pk |
| Line Item Description: Filter 6/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: 64396403240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $107.99 |
|
|
|
2
|
Composite placement tools
|
42150000-25-MMCAP-ACS
|
|
6.0000
|
$43.6500
|
$261.90
|
| Composite Instrument Size 3 Goldstein Ea |
| Line Item Description: Composite Instrument Size 3 Goldstein Ea |
| 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: $261.90 |
|
|
|
3
|
Sterilization wraps and packaging supplies
|
42150000-25-MMCAP-ACS
|
|
4.0000
|
$9.6100
|
$38.44
|
| Sterilization Pouch Self Seal 2.25 in x 4 in 200/Bx |
| Line Item Description: Sterilization Pouch Self Seal 2.25 in x 4 in 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: 64396403240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $38.44 |
|
|
|
4
|
Dental saliva ejectors or oral suction devices
|
42150000-25-MMCAP-ACS
|
|
20.0000
|
$5.0000
|
$100.00
|
| Saliva Ejectors Green Opaque Mint 100/Bg |
| Line Item Description: Saliva Ejectors Green Opaque Mint 100/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: 64396403240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $100.00 |
|
|
|
5
|
Dental saliva ejectors or oral suction devices
|
42150000-25-MMCAP-ACS
|
|
20.0000
|
$37.6000
|
$752.00
|
| 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: $752.00 |
|
|
|
6
|
Dental saliva ejectors or oral suction devices
|
42150000-25-MMCAP-ACS
|
|
10.0000
|
$37.6000
|
$376.00
|
| 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: $376.00 |
|
|
|
7
|
Disinfecting or presterilization cleaning equipment and solutions
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$41.9500
|
$41.95
|
| Concentrate Surgical Milk 64 oz 64oz/Bt |
| Line Item Description: Concentrate Surgical Milk 64 oz 64oz/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: 64396403240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $41.95 |
|
|
|
8
|
General dental supplies
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$76.4600
|
$76.46
|
| Pain Relief Putty 0.15oz 6/Bx |
| Line Item Description: Pain Relief Putty 0.15oz 6/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: $76.46 |
|
|
|
9
|
Dental materials
|
42150000-25-MMCAP-ACS
|
|
10.0000
|
$73.9100
|
$739.10
|
| Grandio Universal Composite A2 Capsule Refill 20/Pk |
| Line Item Description: Grandio Universal Composite A2 Capsule Refill 20/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: 64396403240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $739.10 |
|