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 1 6 1
      ACCOUNTS PAYABLE                     477                 Requisition  696-0-60722
      P O BOX 4018
      HUNTSVILLE         TX 77342-4018                                      06/30/10         1


         Destination if Different  
      TDCJ-ID WOODMAN UNIT                 696M
      MAINTENANCE DEPT.                    018
      1210 CORYELL CITY RD.
      GATESVILLE TX 76599

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
              TDCJ PACKAGING REQUIREMENTS AS FOLLOWS:
              DAILY CYLINDER RENTAL
              5 CYLINDERS
              MAY 2010

              AGENCY DELIVERY CONTACT INFORMATION:
              NAME: CASEY CURRY
              TELEPHONE NO: 254-865-9398 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: EOA60722/R0145891

                   Description                                  Quantity  Unit      Unit    Extended
                                                                                   Price      Amount

      430-05  GASES: 050, CORYELL CO.,  GASES FOR HOSPITAL,
               LABORATORY AND WELDING USE.  FOR ALL QUALIFIED
               ENTITIES WITHIN THE COUNTY NOT OTHERWISE
               IDENTIFIED

     09999-9  CYLINDER RENTAL, DAILY RATE                            155  DAY        .10       15.50

              DELIVERY IN   5 DAYS.

                                                                   TOTAL THIS ORDER           $15.50