Texas State Seal

CONTRACT PURCHASE ORDER

In accordance with the contract between the Contractor
and the Texas Comptroller of Public Accounts
         Agency to Invoice    
      RUSK STATE HOSPITAL                  679       Purchase Order Number  3 0 3 5 3 8
      BOX 318                              001                 Requisition  537-0-60660
      RUSK               TX 75785-0318
                                                                            03/16/10         1


         Destination if Different  
      RUSK STATE HOSPITAL                  679
      1601 N DICKINSON DR                  002
      RUSK TX 75785-0318

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.
66815
         Contractor
 VID#: 1-61-141-1269-7  COMP
 FRUIT OF THE LOOM
 1 FRUIT OF THE LOOM DRIVE
 BOWLING GREEN KY 42102
              FOR AGENCY USE ONLY:  req 73450


                      **** ENTERED BY 29DAY JODI       ****
              CONTACT AT AGENCY: BUYER:, PHONE: 8308962211 X6217
              PAYMENT CONTACT: RUSK, PHONE: 903.683.7120
              VENDOR CONTACT: Stephanie Gallagher, PHONE: 270 781-6400 x2143

              LOCATION: LINE 1 3 DOZ LARGE NAVY
                        LINE 2 3 DOZ LARGE GREEN
                        LINE 3 3 DOZ XL BLACK
                        LINE 4 3 DOZ XL RED
                        *****THANK YOU*****

                   Description                                  Quantity  Unit      Unit    Extended
                                                                                   Price      Amount

      200-70  BASIC "T" SHIRT, SHORT SLEEVE Approx. 50/50
              Polyester/cotton blend. Adult Size. Unisex. Short
              Sleeve. Full cut. Round Neck. Pre-shrunk. Color:
              Bright colors. Suggested Colors: Ash, Heather,
              Natural, Yellow, Light Blue.

     89375-3  Large. Chest approx. 42-44, Fruit of Loom 5930R          3  DOZ      25.33       75.99

     89375-3  Large. Chest approx. 42-44, Fruit of Loom 5930R          3  DOZ      25.33       75.99

     89485-0  X-Large. Chest approx. 46-48, Fruit of Loom 5930R        3  DOZ      25.33       75.99

     89485-0  X-Large. Chest approx. 46-48, Fruit of Loom 5930R        3  DOZ      25.33       75.99

              DELIVERY IN  20 DAYS.

                                                                   TOTAL THIS ORDER          $303.96