Texas State Seal

CONTRACT PURCHASE ORDER

In accordance with the contract between the Contractor
and the Texas Comptroller of Public Accounts
         Agency to Invoice    
      Health & Human Services Comm                   Purchase Order Number  3 0 2 1 9 7
      4616-1 West Howard Lane                                  Requisition  529-0-46211
      Suite 120
      AUSTIN             TX 78728                                            11/6/09         1


         Destination if Different  
      Health & Human Services Comm
      500 Center Ridge Drive
      AUSTIN TX 78753

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: Mario Gutierrez, PHONE: 512-251-4106
              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

      420-60  STACKING CHAIR, DAKOTA, WITHOUT ARMS - STANDARD
              WITH CHROME FRAME FINISH AND WITHOUT GLIDES
               ALL CHAIR COMPONENTS MEET ANSI/BIFMA SEATING
               PERFORMANCE STANDARDS AND CAL 133 TEST REQUIRE-
               MENTS.
               SEAT: 17.4" WIDE AND 18.4" DEEP
               BACKREST: 17.4" WIDE AND 12/1" HIGH
               **AGENCY MUST SPECIFY FRAME FINISH IF OTHER
                 THAN CHROME**

     30001-1  F.O.B. DESTINATION; RECEIVING DOCK                      10  EA       60.00      600.00
               90 DAY DELIVERY AFTER RECEIPT OF ORDER
              SHELL COLOR:  Bourdeaux
              FRAME FINISH-CHROME OR OTHER:  Chrome

                                                                   TOTAL THIS ORDER          $600.00