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 4 0 5 9
      ACCOUNTS PAYABLE                     477                 Requisition  696-0-60009
      P O BOX 4018
      HUNTSVILLE         TX 77342-4018                                       06/9/10         1


         Destination if Different  
      TDCJ DALHART UNIT                    696
      MAINTENANCE DEPARTMENT               973
      11950 FM 998
      DALHART TX 79022

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

              TDCJ PACKAGING REQUIREMENTS AS FOLLOWS:
              REFILL ONLY
              UNIT OWNED
              CYLINDER

              AGENCY DELIVERY CONTACT INFORMATION:
              NAME: DEBBIE RAMOLD
              TELEPHONE NO: 806-249-8655 X7302
              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: EOA60009/R0137898

                   Description                                  Quantity  Unit      Unit    Extended
                                                                                   Price      Amount

      430-05  GASES: 056, DALLAM CO.,  GASES FOR HOSPITAL,
               LABORATORY AND WELDING USE.  FOR ALL QUALIFIED
               ENTITIES WITHIN THE COUNTY NOT OTHERWISE
               IDENTIFIED

     69005-2  ACETYLENE, 360 CU. FT. CYL.                            360  CUFT     .1866       67.18

              DELIVERY IN   5 DAYS.

                                                                   TOTAL THIS ORDER           $67.18