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CONTRACT PURCHASE ORDERIn accordance with the contract between the Contractorand the Texas Comptroller of Public Accounts |
Agency to Invoice
DEPT OF AGING & DISABILITY Purchase Order Number 3 0 2 0 2 3
ACCTS PAYABLE Requisition 539-0-38579
PO BOX 1132
MEXIA TX 76667 10/23/09 1
Destination if Different
DEPT OF AGING & DISABILITY
4111 N LAMAR
AUSTIN TX 78756
THE STATE OF TEXAS IS EXEMPT FROM ALL FEDERAL EXCISE TAXES | 87960 | Contractor VID#: 1-36-240-7381-6 COMP UNITED PARCEL SERVICE ATTN DEEDEE SHEPARD 6400 SEVEN STATES SAN ANTONIO TX 78244 |
FOR AGENCY USE ONLY: REQ 47431 FAX 713/767-3903
**** ENTERED BY STATE OFFICE ****
CONTACT AT AGENCY: YVETTE DAVIS, PHONE: 713/767-2464
PAYMENT CONTACT: RON LUEBBEN, PHONE: 254/562-1304
VENDOR CONTACT: DEEDEE SHEPPARD, PHONE: 1-888-254-1248
AGENCY DELIVERY CONTACT INFORMATION:
NAME: Carol Carothers
TELEPHONE NO: 512/374-6937
VENDOR TO PROVIDE DELIVERY CONTACT INFORMATION TO
SHIPPING/FREIGHT PROVIDER
Description Quantity Unit Unit Extended
Price Amount
962-24 BLANKET ORDER - OVERNIGHT, SECOND DAY AND GROUND
DELIVERY SERVICES
18110-5 UPS - ESTIMATED DOLLAR AMOUNT PER CONTRACT YEAR 4500 EA 1.00 4500.00
TOTAL THIS ORDER $4,500.00