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CONTRACT PURCHASE ORDERIn accordance with the contract between the Contractorand the Texas Comptroller of Public Accounts |
Agency to Invoice
DSHS:Accounts Payable Purchase Order Number 3 0 3 0 4 0
721 Thompson Dr Requisition 537-0-58988
KERRVILLE TX 78028
01/11/10 1
Destination if Different
DSHS:Warehouse
Kerrvile Stae Hospital
721 Thompson Dr
KERRVILLE TX 78028
THE STATE OF TEXAS IS EXEMPT FROM ALL FEDERAL EXCISE TAXES | 82663 | Contractor VID#: 1-71-042-7007-3 COMP FEDEX GOVERNMENT SERVICES 6625 LENOX PARK, 3RD FLOOR MEMPHIS TN 38115 |
FOR AGENCY USE ONLY: Buyer Location 111A3
**** ENTERED BY 29BLINCOE RICK ****
CONTACT AT AGENCY: Rick Blincoe, PHONE: 512-206-5468
VENDOR CONTACT: FEDEX CUSTOMER SERVICE, PHONE: 800-645-9424
SERVICE PERIOD FOR CONTRACT NO. 962-A1
START DATE: 01/01/2009
END DATE: 08/31/2010
AMOUNT REFLECTED IS AN ESTIMATE FOR DESIGNATED
PERIOD OF SERVICE. AMOUNTS NOT USED PRIOR TO THE
EXPIRATION DATE WILL BE AUTOMATICALLY CANCELLED.
AGENCY DELIVERY CONTACT INFORMATION:
NAME: Trinidad Domingues
TELEPHONE NO: 830-893-2211x6173
VENDOR TO PROVIDE DELIVERY CONTACT INFORMATION TO
SHIPPING/FREIGHT PROVIDER
Description Quantity Unit Unit Extended
Price Amount
962-24 BLANKET ORDER - OVERNIGHT, SECOND DAY AND GROUND
DELIVERY SERVICES
18100-6 FEDEX - ESTIMATED DOLLAR AMOUNT PER CONTRACT YEAR 2500 EA 1.00 2500.00
TOTAL THIS ORDER $2,500.00