CONTRACT PURCHASE ORDER In accordance with the contract between the Contractor and the Texas Comptroller of Public Accounts

         Agency to Invoice    
      ABILENE STATE SUPPORTED                        Purchase Order Number  3 0 1 7 9 5
      LIVING CENTER                                            Requisition  539-0-34575
      P.O. BOX 451
      ABILENE            TX 79602                                           10/12/09         1


         Destination if Different  
      ABILENE SSLC
      2501 MAPLE STREET
      ABILENE TX 79602

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.

48969

         Contractor
 VID#: 1-94-275-4624-7  COMP
 NOVARTIS VACCINES AND DIAGNOSTICS INC
 ATTN: MARIE SILVER
 350 MASSACHUSETTS AVE
 CAMBRIDGE MA 02139

      *****  DO NOT DUPLICATE SHIPMENT  *****
      **** CONFIRMATION ORDER FOR AGENCY REQUEST OF - 05/15/09 *****

              CONTACT AT AGENCY: MICHELLE PUSTKA, PHONE: 325-465-2262
              PAYMENT CONTACT: JEROLYN BEYER, PHONE: 325-795-3505
              VENDOR CONTACT: ED KOTHERA, PHONE: 214-578-6964

      269-80  INFLUENZA VACCINE

     60515-3  VIRUS VACCINE, SPLIT, 48 MOS AND OLDER                 200  VIAL     70.00    14000.00
              5ML MULTI-DOSE VIALS - FLUVIRIN -
              #66521-111-10, 10 DOSES/VIAL.  2.00% 30
                ***INVOICE WILL REFLECT ADDITIONAL FEDERAL
                EXCISE TAX OF $7.50 PER PKG***

                                                                   TOTAL THIS ORDER       $14,000.00