 |
CONTRACT PURCHASE ORDER
In accordance with the contract between the Contractor
and the Texas Comptroller of Public Accounts |
Agency to Invoice
SAN ANTONIO STATE HOSPITAL 681 Purchase Order Number 3 0 3 0 2 9
6711 SOUTH NEW BRAUNFELS 001 Requisition 53701-0-17263
SUITE 100
SAN ANTONIO TX 78223-3006 01/8/10 1
Destination if Different
SAN ANTONIO STATE HOSPITAL 681
6711 SOUTH NEW BRAUNFELS 002
BLDG 558
SAN ANTONIO TX 78223
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.
| 82811 | Contractor
VID#: 1-76-042-6458-4 COMP
SUPPLY SOLUTIONS OF TEXAS
PO BOX 15177
HOUSTON TX 77220
|
**** ENTERED BY 29SINGLETON FLOR ****
CONTACT AT AGENCY: NONI MARTINEZ, PHONE: 915-599-5215
VENDOR CONTACT: RAY HURST, PHONE: 713-674-2984
AGENCY DELIVERY CONTACT INFORMATION:
NAME: RAUL LUNA
TELEPHONE NO: 210-531-7311
EMAIL: RAUL.LUNA@HHSC.STATE
VENDOR TO PROVIDE DELIVERY CONTACT INFORMATION TO
SHIPPING/FREIGHT PROVIDER
ORDERING ENTITY/PURCHASER CONTACT INFORMATION:
EMAIL: LEONOR.MARTINEZ@HHSC.STATE
FAX NUMBER: 915-599-5242
Description Quantity Unit Unit Extended
Price Amount
670-70 VALVES, BRONZE, GATE, TO MEET TEXAS SPECIFICATION
670-70-01B, ORDERING CODE GAB2USC. CLASS 150,
INSIDE SCREW, RISING STEM, UNION BONNET, THREADED
ENDS. **SEE APPROVED PRODUCTS LIST**, *
RECYCLED *
15381-1 3/4 IN., KITZ, #42AK, * RECYCLED * 6 EA 23.66 141.96
15411-6 1-1/4 IN., KITZ, #T-134, * RECYCLED * 4 EA 47.15 188.60
15431-4 2 IN., KITZ, #T-134, * RECYCLED * 2 EA 79.12 158.24
DELIVERY IN 14 DAYS.
TOTAL THIS ORDER $488.80