Texas State Seal

CONTRACT PURCHASE ORDER

In accordance with the contract between the Contractor
and the Texas Comptroller of Public Accounts
         Agency to Invoice    
      TDCJ/ID                              696       Purchase Order Number  3 0 3 9 7 9
      ACCOUNTS PAYABLE                     477                 Requisition  696-0-40268
      P O BOX 4018
      HUNTSVILLE         TX 77342-4018                                      05/25/10         1


         Destination if Different  
      TDCJ                                 696
      ROACH - UNIT MAINTENANCE             640
      15845 FM 164
      CHILDRESS TX 79201

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.
84947
         Contractor
 VID#: 1-74-276-8918-1  COMP
 AIRGAS-SOUTHWEST INC
 11111 N LAMAR
 ATTN: BILL TINKHAM
 AUSTIN TX 78753

                      **** ENTERED BY KRISTY METZLER   ****
              CONTACT AT AGENCY: SHARI MOORE, PHONE: 936-437-7037
              VENDOR CONTACT: BILL TINKHAM, PHONE: 512-589-2845
              PLEASE PROVIDE CURRENT MSDS SHEET

              AGENCY DELIVERY CONTACT INFORMATION:
              NAME: CARLA SPRINGER
              TELEPHONE NO: 940-937-6364 X7300
              VENDOR TO PROVIDE DELIVERY CONTACT INFORMATION TO
              SHIPPING/FREIGHT PROVIDER

              INCLUDE OR MARK P.O. NUMBERS AND REQUISITION
              NUMBERS ON PACKING SLIPS, CARTONS, PACKAGES,
              BUNDLES, ETC.
              PLEASE LABEL: EOA40268/R0128473

                   Description                                  Quantity  Unit      Unit    Extended
                                                                                   Price      Amount

      430-03  GASES: 038, CHILDRESS CO., HOSPITAL, LABORATORY
               AND WELDING.  DEPARTMENT OF CRIMINAL
               JUSTICE/INSTITUTIONAL DIVISION, ROACH UNIT,
               FM 164 AIRPORT ROAD, CHILDRESS, TX 79201

     83005-6  ACETYLENE, 400 CU. FT. CYL.                            400  CUFT     .1866       74.64

     83060-1  OXYGEN, 337 CU. FT. CYL                                337  CUFT      .023        7.75

     83999-0  CYLINDER RENTAL, DAILY RATE                             70  DAY        .10        7.00

              DELIVERY IN   5 DAYS.

                                                                   TOTAL THIS ORDER           $89.39