Texas State Seal

CONTRACT PURCHASE ORDER

In accordance with the contract between the Contractor
and the Texas Comptroller of Public Accounts
         Agency to Invoice    
      TEXAS PANHANDLE MHMR                 R1880     Purchase Order Number  3 0 0 9 0 1
      P. O. BOX 3250                       001                 Requisition  R1880-0-17
      AMARILLO           TX 79116-3250
                                                                            09/10/09         1


         Destination if Different  
      TEXAS PANHANDLE MHMR                 R1880
      901 WALLACE BLVD                     003
      AMARILLO TX 79106

THE STATE OF TEXAS IS EXEMPT FROM ALL FEDERAL EXCISE TAXES
STATE AND CITY SALES TAX EXEMPTION CERTIFICATE: The State of Texas claims an exemption from taxes under Texas Tax Code § 151.309(4), for purchase of tangible personal property described in this numbered order, purchased from contractor and/or shipper listed here, as this property is being secured for the exclusive use of the State of Texas.
18232
         Contractor
 VID#: 1-43-174-1196-6  COMP
 MMS A MEDICAL SUPPLY COMPANY
 4655 WRIGHT RD. SUITE 250
 STAFFORD TX 77477
              FOR AGENCY USE ONLY:  WAREHOUSE STOCK


                      **** ENTERED BY TEXAS PANHANDLE  ****
              CONTACT AT AGENCY: JACK FLEMING, PHONE: 806-351-3234
              PAYMENT CONTACT: PHYLLIS ROCKHOLD, PHONE: 806-351-3218
              VENDOR CONTACT: BRIAN BUTTERWORTH, PHONE: 800-736-2115 X3181

                   Description                                  Quantity  Unit      Unit    Extended
                                                                                   Price      Amount

      475-41  GLOVES, EXAMINATION, DISPOSABLE, LATEX,
              NON-STERILE, IN DISPENSER BOX

     32432-4  GLOVE EXAM LTX XLG PDR, MMS, MMS400, 100/BOX, 10        10  CS       41.90      419.00
              BOX/CS

      475-41  GLOVES, EXAMINATION, NON-LATEX, POWDER FREE

     38310-6  GLOVE EXAM VINYL LG PF, MMS, MMS5300-L, 100/BOX,         2  CS       33.75       67.50
              10 BOX/CS

              DELIVERY IN  10 DAYS.

                                                                   TOTAL THIS ORDER          $486.50