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CONTRACT PURCHASE ORDERIn accordance with the contract between the Contractorand the Texas Comptroller of Public Accounts |
Agency to Invoice
HHSC: Accounting Purchase Order Number 3 0 2 1 3 6
4900 N Lamar Blvd. 5th Floor Requisition 529-0-46074
AUSTIN TX 78751
11/2/09 1
Destination if Different
HHSC: Exec.Staff Operations
1100 W 49th St Service Bldg
PO Box 149347
AUSTIN TX 78756
THE STATE OF TEXAS IS EXEMPT FROM ALL FEDERAL EXCISE TAXES | 80528 | Contractor VID#: 1-95-460-1126-3 COMP LONE STAR HOLDINGS, LLC DBA LONE STAR OVERNIGHT 1601 HEADWAY CIRCLE AUSTIN TX 78754 |
FOR AGENCY USE ONLY: Buyer location 111A3
**** ENTERED BY 29BLINCOE RICK ****
CONTACT AT AGENCY: Rick Blincoe, PHONE: 512-206-5468
SERVICE PERIOD FOR CONTRACT NO. 962-A1
START DATE: 09/01/09
END DATE: 08/31/10
AMOUNT REFLECTED IS AN ESTIMATE FOR DESIGNATED
PERIOD OF SERVICE. AMOUNTS NOT USED PRIOR TO THE
EXPIRATION DATE WILL BE AUTOMATICALLY CANCELLED.
AGENCY DELIVERY CONTACT INFORMATION:
NAME: Monica Holder
TELEPHONE NO: 512-458-7111 x3082
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
18105-5 LONE STAR OVERNIGHT - ESTIMATED DOLLAR AMOUNT PER 10000 EA 1.00 10000.00
CONTRACT YEAR
TOTAL THIS ORDER $10,000.00