Texas State Seal

CONTRACT PURCHASE ORDER

In accordance with the contract between the Contractor
and the Texas Comptroller of Public Accounts
         Agency to Invoice    
      DALLAS COUNTY                        C0570     Purchase Order Number  3 0 2 3 7 1
      C/O COUNTY AUDITOR'S OFFICE          100                 Requisition  C0570-0-29
      509 MAIN STREET, ROOM 407
      DALLAS             TX 75202                                           11/18/09         1


         Destination if Different  
      VD EPIDEMIOLOGY
      2377 N. STEMMONS FREEWAY
      1ST FLOOR, ROOM 132
      DALLAS TX 75207

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.
88295
         Contractor
 VID#: 1-76-018-9618-0  COMP
 USA DATAFAX INC
 SUITE 407
 821 JUPITER ROAD
 PLANO TX 75074
              CONTACT AT AGENCY: DEBRA MORRIS, PHONE: 214/653-7933
              PAYMENT CONTACT: GWEN JOHNSON, PHONE: 214/653-6473
              VENDOR CONTACT: JUDY L GRAHAM, PHONE: 800 848-1164
              AGENCY DELIVERY CONTACT INFORMATION:
              NAME: SHALANDA SMITH
              TELEPHONE NO: 214/819-2155
              VENDOR TO PROVIDE DELIVERY CONTACT INFORMATION TO
              SHIPPING/FREIGHT PROVIDER

              PLEASE NOTE P. O. NO. 223056
              ON ALL CORRESPONDENCE.

      600-21  FACSIMILE TRANSCEIVER
               CATEGORY 4 CUT BOND PAPER - NEW
               NOTE: INSTALLATION IS OPTIONAL AT THE
              REQUEST OF THE ORDERING ENTITY.

     80655-3  CONSUMABLE SUPPLY-TONER TN570 - FOR BOTHER               2  EA       53.62      107.24
              MFC-8220 P/N STB32, * ENVIRONMENTALLY FRIENDLY *

              DELIVERY IN  20 DAYS.

                                                                   TOTAL THIS ORDER          $107.24