Texas State Seal

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