 |
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