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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
|
|
2.0000
|
$41.0000
|
$82.00
|
| Beautifil-Bulk Flowable Bulk Fill Composite Universal Syringe Refill 2.4Gm/Ea |
| Line Item Description: Beautifil-Bulk Flowable Bulk Fill Composite Universal Syringe Refill 2.4Gm/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: 67106511000 - |
| Object Code and Description: 344000 - |
| Account Code: 67-20-2-516013-67100400-00-040000-00 |
| Split Amount: $82.00 |
|
|
|
2
|
Dental hygiene and preventive care equipment and supplies
|
42150000-25-MMCAP-ACS
|
|
4.0000
|
$13.9600
|
$55.84
|
| 3M Clinpro 5000 Toothpaste 1.1% Sodium Fluoride Bubblegum 4oz/Tb |
| Line Item Description: 3M Clinpro 5000 Toothpaste 1.1% Sodium Fluoride Bubblegum 4oz/Tb |
| 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: 67106511000 - |
| Object Code and Description: 344000 - |
| Account Code: 67-20-2-516013-67100400-00-040000-00 |
| Split Amount: $55.84 |
|
|
|
3
|
Hemostatic agents
|
42150000-25-MMCAP-ACS
|
|
2.0000
|
$248.7000
|
$497.40
|
| Surgifoam Hemostatic Gelatin Sponge 1x1x1cm Oral |
| Line Item Description: Surgifoam Hemostatic Gelatin Sponge 1x1x1cm Oral |
| 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: 67106511000 - |
| Object Code and Description: 344000 - |
| Account Code: 67-20-2-516013-67100400-00-040000-00 |
| Split Amount: $497.40 |
|
|
|
4
|
Dental hygiene and preventive care equipment and supplies
|
42150000-25-MMCAP-ACS
|
|
6.0000
|
$11.7000
|
$70.20
|
| Parodontax Clean Mint Toothpaste 3.4 oz 0.4% SNF2 3.4oz/Tb |
| Line Item Description: Parodontax Clean Mint Toothpaste 3.4 oz 0.4% SNF2 3.4oz/Tb |
| 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: 67106511000 - |
| Object Code and Description: 344000 - |
| Account Code: 67-20-2-516013-67100400-00-040000-00 |
| Split Amount: $70.20 |
|
|
|
5
|
Sterilization wraps and packaging supplies
|
42150000-25-MMCAP-ACS
|
|
4.0000
|
$8.8100
|
$35.24
|
| Sterilization Pouch Self Seal 3.5 in x 9 in 200/Bx |
| Line Item Description: Sterilization Pouch Self Seal 3.5 in x 9 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: 67106511000 - |
| Object Code and Description: 344000 - |
| Account Code: 67-20-2-516013-67100400-00-040000-00 |
| Split Amount: $35.24 |
|
|
|
6
|
General dental supplies
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$37.6000
|
$37.60
|
| 3M Cavit Temporary Filling Material 28 Gm White 28gm/Jr |
| Line Item Description: 3M Cavit Temporary Filling Material 28 Gm White 28gm/Jr |
| 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: 67106511000 - |
| Object Code and Description: 344000 - |
| Account Code: 67-20-2-516013-67100400-00-040000-00 |
| Split Amount: $37.60 |
|
|
|
7
|
Dental materials
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$54.5700
|
$54.57
|
| Natural Elegance Self Etch Plus Self Etch Bonding Agent 5 mL Bottle Ea |
| Line Item Description: Natural Elegance Self Etch Plus Self Etch Bonding Agent 5 mL Bottle 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: 67106511000 - |
| Object Code and Description: 344000 - |
| Account Code: 67-20-2-516013-67100400-00-040000-00 |
| Split Amount: $54.57 |
|