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CONTRACT PURCHASE ORDER
In accordance with the contract between the Contractor
and the Texas Comptroller of Public Accounts |
Agency to Invoice
HIDALGO COUNTY C1080 Purchase Order Number 3 0 4 1 5 6
PURCHASING DEPT 100 Requisition C1080-0-1059
2802 SOUTH CLOSNER HWY 281
EDINBURG TX 78539 06/30/10 1
Destination if Different
HIDALGO COUNTY
HEALTH & HUMAN SERVICES
1304 S. 25TH
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.
| 20601 | Contractor
VID#: 1-98-003-3013-6 COMP
SANOFI PASTEUR INC
DISCOVERY DRIVE
SWIFTWATER PA 18370
|
CONTACT AT AGENCY: MATILDE FAZ, PHONE: 956-318-2626
PAYMENT CONTACT: R. SALINAS, PHONE: 956-383-6221
VENDOR CONTACT: MAURIE ALTMANN, PHONE: 570-496-6711
269-80
60510-4 INFLUENZA VACCINE. 500 VIAL 93.70 46850.00
5ml MULTI-DOSE VIAL.
***INVOICE WILL REFLECT AN ADDITIONAL FEDERAL
EXCISE TAX OF $0.75 PER DOSE***, FLUZONE,
49281-386-15, 10 DOSES/VIAL
60511-2 Influenza vaccine, Age 65 years of age and older. 40 PKG 250.00 10000.00
0.50ml single dose syringe.
***INVOICE WILL REFLECT AN ADDITIONAL FEDERAL
EXCISE TAX OF $0.75 PER DOSE***, FLUZONE,
#49281-387-65, 10 SYRINGES/PKG
TOTAL THIS ORDER $56,850.00