Texas State Seal

CONTRACT PURCHASE ORDER

In accordance with the contract between the Contractor
and the Texas Comptroller of Public Accounts
         Agency to Invoice    
      HHSC                                           Purchase Order Number  3 0 3 0 3 6
      PO Box 960                                               Requisition  529-0-47239
      EDINBURG           TX 78540-0960
                                                                            01/11/10         1


         Destination if Different  
      HHSC
      2412 E Richardson St
      EDINBURG TX 78539

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 STATE OFFICE     ****
              CONTACT AT AGENCY: Paul Ebrom, PHONE: 956-316-8255
              VENDOR CONTACT: CUSTOMER SERVICE, PHONE: 903-928-3112
              ORDERING ENTITY/PURCHASER CONTACT INFORMATION:
              EMAIL: amy.fitzgerald@hhsc
              FAX NUMBER: 512-206-4711


              AGENCY DELIVERY CONTACT INFORMATION:
              NAME: PAUL EBROM
              TELEPHONE NO: 956-316-8255
              EMAIL: paul.ebrom@hhsc
              VENDOR TO PROVIDE DELIVERY CONTACT INFORMATION TO
              SHIPPING/FREIGHT PROVIDER

                   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                      30  EA       60.00     1800.00
               90 DAY DELIVERY AFTER RECEIPT OF ORDER
              SHELL COLOR:  SH Splash
              FRAME FINISH-CHROME OR OTHER:  CHROME

                                                                   TOTAL THIS ORDER        $1,800.00