Texas State Seal

CONTRACT PURCHASE ORDER

In accordance with the contract between the Contractor
and the Texas Comptroller of Public Accounts
         Agency to Invoice    
      IT: SUPPORT, LTC - HHSC                        Purchase Order Number  3 0 1 9 4 2
      801 W FREEWAY STE 140                                    Requisition  529-0-45716
      PO BOX 532089
      GRAND PRAIRIE      TX 75051                                           10/19/09         1


         Destination if Different  
      HEALTH & HUMAN SERVICES COMM
      2511 DALWORTH
      PO BOX 532089
      GRAND PRAIRIE TX 75050

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.
85328
         Contractor
 VID#: 1-84-125-0534-1  COMP
 CENVEO
 1022 PERUQUE CROSSING COURT SUITE A
 O'FALLON MO 63366

                      **** ENTERED BY 29RYBAK JAYNE    ****
              CONTACT AT AGENCY: JAYNE RYBAK, PHONE: 512-206-5183
              VENDOR CONTACT: JAN MARBLE, PHONE: 800-325-0081 X9105
              AGENCY DELIVERY CONTACT INFORMATION:
              NAME: ROSARIA MACK - QUESTIONS
              TELEPHONE NO: 972-337-6310
              EMAIL: ROSARIA.MACK@HHSC
              VENDOR TO PROVIDE DELIVERY CONTACT INFORMATION TO
              SHIPPING/FREIGHT PROVIDER

              INSIDE DELIVERY TO: BALENCA CHARLESTON

              BEFORE DELIVERY, ALL CARRIERS MUST CONTACT:
              NAME: TYRONE BEASLEY
              TELEPHONE NO: 972-647-9003
              HOURS PRIOR TO DELIVERY: 24
              DELIVERY TIME (A.M.) 8:00 AM TO 11:59 AM
              DELIVERY TIME (P.M.) 1:00 PM TO 5:00 PM
              DELIVERY DAYS: MONDAY THRU FRIDAY

                   Description                                  Quantity  Unit      Unit    Extended
                                                                                   Price      Amount

      966-31  No. 10, Regular, 20 lb., 4-1/8 x 9-1/2,
              White Wove, Die-Cut Diagonal Seam. Must Meet the
              Demands of High Speed Inserters. Printed in Black
              Ink on Face Side.

     03001-0  Recycled, Min. 30% Post Consumer,, MAIL-WELL, *          5  M        23.69      118.45
              RECYCLED FIRST CHOICE *

              DELIVERY IN  30 DAYS. *** PLUS FREIGHT ***

                                                                   TOTAL THIS ORDER          $118.45