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CONTRACT PURCHASE ORDER
In accordance with the contract between the Contractor
and the Texas Comptroller of Public Accounts |
Agency to Invoice
DEPT OF ASSISTIVE & REHAB SRVS 318 Purchase Order Number 3 0 0 9 5 3
DBS - ACCOUNTING 000 Requisition 538-0-16212
4900 N LAMAR, 6TH FLOOR
AUSTIN TX 78751 09/11/09 1
Destination if Different
DARS - DIV FOR BLIND SERVICES 318
BET 002
4800 N LAMAR, SUITE 260
AUSTIN TX 78756
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.
| 66294 | Contractor
VID#: 1-76-060-8365-1 COMP
PHILPOTT FORD
1400 US HWY. 69TH NORTH
NEDERLAND TX 77627
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FOR AGENCY USE ONLY: SEND COPY TO PURCHASER
**** ENTERED BY TX COMM BLIND ****
CONTACT AT AGENCY: LESLIE ALEXANDER - PURCHASER, PHONE: 512-377-0644
PAYMENT CONTACT: MIRISA OSORIO, PHONE: 512-424-4870
VENDOR CONTACT: JARROD RUNNELS, PHONE: 409-727-1451 X1087
THIS AGENCY IS AN INSTITUTION OF HIGHER EDUCATION
OR OPERATES 15 OR LESS MOTOR VEHICLES, EXCLUDING
LAW ENFORCEMENT OR EMERGENCY VEHICLES, AND IS NOT
SUBJECT TO ALTERNATIVE FUEL REQUIREMENTS.
BEFORE DELIVERY, ALL CARRIERS MUST CONTACT:
NAME: MR. LEWIS HOWELL
TELEPHONE NO: 512-377-0565
HOURS PRIOR TO DELIVERY: 24
DELIVERY TIME (A.M.) 7:30 - 12 NOON
DELIVERY TIME (P.M.) 1 - 4:30
DELIVERY DAYS: MON-FRI, XCEPT SCHED HOLIDAYS
Description Quantity Unit Unit Extended
Price Amount
071-31 1/2 Ton MINI-VAN 6-Cylinder, 7-Passenger Series
741B
75200-3 741B - MINI SIZE EXTENDED, 7 AND 8 PASSENGER VAN, 1 EA 21753.30 21753.30
3.5L 6 CYLINDER (IN ACCORDANCE WITH TEXAS
SPECIFICATION NO. 071-072-AT-2009/2010) Make:
TOYOTA Model: SIENNA EPA Grenhouse Score: T.B.D.
City MPG: TBD Highway MPG: TBD Final Order Date:
TBD, Gasoline, SECONDARY AWARD
COLOR: WHITE
75201-1 140 - WINDOW TINT (INSTALLED AT THE FACTORY AND 1 EA 304.57 304.57
NOT AT THE DEALERSHIP) REFER TO SPEC,
SECONDARY AWARD
75208-6 194 - VEHICLE KEYED-ALIKE AT FACTORY, 1 EA .00 .00
SECONDARY AWARD
75209-4 2 - AIR CONDITIIONING/HEAT UNIT, FACTORY 1 EA .00 .00
INSTALLED FRONT AND REAR, SECONDARY AWARD
75210-2 258 - SEAT FABRIC, VINYL FOR ALL SERIES, 1 EA .00 .00
SECONDARY AWARD
75211-0 45 - DIFFERENTIAL, MAXIMUM TRACTION, LIMITED SLIP 1 EA .00 .00
TYPE (REFER TO SPEC), SECONDARY AWARD
75213-6 59 - FUEL TANKS, INCREASED CAPACITY (REFER TO 1 EA .00 .00
SPEC), SECONDARY AWARD
75214-4 108 - SPACE SAVER TIRE (REFER TO SPEC), 1 EA .00 .00
SECONDARY AWARD
75215-1 101 - REMOTE KEYLESS ENTRY WHERE AVAILABLE (REFER 1 EA .00 .00
TO SPEC), SECONDARY AWARD
75220-1 378 - FLOOR COVERING TO BE CARPET 1 EA .00 .00
75221-9 359 - BODY SIDE MOLDING - FACTORY INSTALLED ONLY 1 EA .00 .00
75222-7 412 - REAR VIEW MIRRORS, EXTERIOR, TO BE REMOTE 1 EA .00 .00
ADJUSTABLE
TOTAL THIS ORDER $22,057.87