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LINE ITEM NUMBER
|
COMMODITY TYPE
|
STATE TERM CONTRACT ID
|
AGENCY SOLICITATION NUMBER
|
Quantity |
Unit Price |
Total Unit Price |
|
|
1
|
Medical gloves and accessories
|
42150000-25-MMCAP-ACS
|
|
30.0000
|
$6.2800
|
$188.40
|
| Criterion N100 Nitrile Exam Gloves Medium Blue Non-Sterile |
| Line Item Description: Criterion N100 Nitrile Exam Gloves Medium Blue Non-Sterile |
| 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: 64365380240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-53-040000-00 |
| Split Amount: $188.40 |
|
|
|
2
|
Medical catheter tip syringes
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$276.4800
|
$276.48
|
| Sparkle Air / Water Tip Assorted 1500/Bg |
| Line Item Description: Sparkle Air / Water Tip Assorted 1500/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: 64365380240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-53-040000-00 |
| Split Amount: $276.48 |
|
|
|
3
|
General dental supplies
|
42150000-25-MMCAP-ACS
|
|
2.0000
|
$30.8200
|
$61.64
|
| Tray Cover 8.5 in x 12.25 in Lavender Paper Disposable 1000/Ca |
| Line Item Description: Tray Cover 8.5 in x 12.25 in Lavender Paper Disposable 1000/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: 64365380240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-53-040000-00 |
| Split Amount: $61.64 |
|
|
|
4
|
General orthopedic implants
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$79.5300
|
$79.53
|
| 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: 64365380240 - |
| Object Code and Description: 341008 - |
| Account Code: 64-20-2-141001-64200700-53-040000-00 |
| Split Amount: $79.53 |
|
|
|
5
|
Dental materials
|
42150000-25-MMCAP-ACS
|
|
5.0000
|
$130.8900
|
$654.45
|
| 3M Filtek Supreme Ultra Universal Composite A2B Body Capsule Refill 20/Bt |
| Line Item Description: 3M Filtek Supreme Ultra Universal Composite A2B Body Capsule Refill 20/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: 64365380240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-53-040000-00 |
| Split Amount: $654.45 |
|
|
|
6
|
Dental and subspecialty instrument and device accessories
|
42150000-25-MMCAP-ACS
|
|
5.0000
|
$62.8600
|
$314.30
|
| Mepivacaine HCl 3% Plain 1.7 mL 50/Bx |
| Line Item Description: Mepivacaine HCl 3% Plain 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: 64365380240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-53-040000-00 |
| Split Amount: $314.30 |
|
|
|
7
|
Dental saliva ejectors or oral suction devices
|
42150000-25-MMCAP-ACS
|
|
5.0000
|
$9.8400
|
$49.20
|
| Premium Saliva Ejectors Clear / Blue Tip 100/Pk |
| Line Item Description: Premium Saliva Ejectors Clear / Blue Tip 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: 64365380240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-53-040000-00 |
| Split Amount: $49.20 |
|