Texas State Seal

CONTRACT PURCHASE ORDER

In accordance with the contract between the Contractor
and the Texas Comptroller of Public Accounts
         Agency to Invoice    
      Dept Aging & Disability Srvcs                  Purchase Order Number  3 0 1 7 9 8
      4001 Hwy 36 South                                        Requisition  539-0-38615
      Accounts Payable
      BRENHAM            TX 77833                                           10/12/09         1


         Destination if Different  
      Dept Aging & Disability Srvcs
      2100 Preston
      RICHMOND TX 77469

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.
63124
         Contractor
 VID#: 3-69-669-6696-6007
 TEXAS CORRECTIONAL INDUSTRIES
 CUSTOMER SERVICE REPRESENTATIVE
 PO BOX 4013
 HUNTSVILLE TX 77342-4013

                      **** ENTERED BY 29COLLINS-MOORE  ****
              CONTACT AT AGENCY: Ann Hardin, PHONE: 281-344-4789
              VENDOR CONTACT: CUSTOMER SERVICE, PHONE: 903-928-3112
              ORDERING ENTITY/PURCHASER CONTACT INFORMATION:
              EMAIL: hhsc.state.tx.us
              FAX NUMBER: 512-206-5511


                   Description                                  Quantity  Unit      Unit    Extended
                                                                                   Price      Amount

      420-64  CHAIR, WINGBACK.  SIZE: 42"H X 28.5"L X 22.5"D
               SEAT TO FLOOR -  19-1/4"
               STANDARD WITH QUEEN ANNE STYLE LEGS
               SOLID WOOD FRAME CONSTRUCTION
               **ORDERING ENTITY MUST SPECIFY FABRIC COLOR AND
                 FINISH COLOR**

     40005-6  90 DAY DELIVERY AFTER RECEIPT OF ORDER                   4  EA      242.00      968.00
              FINISH COLOR:  Mahogany
              FABRIC COLOR:  Orange Cinnamon

     40020-5  INSIDE/INSTALLATION: COUNCIL OF GOVERNMENT               4  EA       25.00      100.00
              DISTRICTS 12, 13, 14, 15, 16 AND 18
               FOR ALL OTHER COG DISTRICTS - REFERENCE
               SECTION 1.8(B) OF THE GENERAL CONTRACT
               INFORMATION

      420-64  SOFA, CAMEL BACK-3-PLACE
               SIZE: 34-1/2"H X 81"L X 27"D
               STANDARD WITH DECORATIVE STRAIGHT LEGS.
               SOLID WOOD FRAME CONSTRUCTION
               **ORDERING ENTITY MUST SPECIFY FABRIC/FINISH
                 COLORS**

     60005-1  90 DAY DELIVERY AFTER RECEIPT OF ORDER                   2  EA      458.00      916.00
              FINISH COLOR:  Mahogany
              FABRIC COLOR:  Orange Cinnamon

     60011-9  INSIDE/INSTALLATION: COUNCIL OF GOVERNMENT               2  EA       35.00       70.00
              DISTRICTS 12, 13, 14, 15, 16 AND 18
               FOR ALL OTHER COG DISTRICTS - REFERENCE
               SECTION 1.8(B) OF THE GENERAL CONTRACT
               INFORMATION
                                                                   TOTAL THIS ORDER        $2,054.00