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 2 4 2
      ACCOUNTS PAYABLE                     477                 Requisition  696-0-62413
      P O BOX 4018
      HUNTSVILLE         TX 77342-4018                                      07/22/10         1


         Destination if Different  
      TDCJ                                 696
      JORDAN - UNIT MAINTENANCE            627
      1992 HILTON ROAD
      PAMPA TX 79066

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: UNIT MAINT SUPER
              TELEPHONE NO: 806-665-7070 X300
              VENDOR TO PROVIDE DELIVERY CONTACT INFORMATION TO
              SHIPPING/FREIGHT PROVIDER

              TDCJ PACKAGING REQUIREMENTS AS FOLLOWS:
                            CYLINDERS ARE
                            UNIT OWNED
                            REFILLS NEEDED

              INCLUDE OR MARK P.O. NUMBERS AND REQUISITION
              NUMBERS ON PACKING SLIPS, CARTONS, PACKAGES,
              BUNDLES, ETC.
              PLEASE LABEL: EOA62413/R0150796

                   Description                                  Quantity  Unit      Unit    Extended
                                                                                   Price      Amount

      430-09  GASES: 090, GRAY CO.,  GASES FOR HOSPITAL,
               LABORATORY AND WELDING USE.  FOR ALL QUALIFIED
               ENTITIES WITHIN THE COUNTY NOT OTHERWISE
               IDENTIFIED

     09010-1  ACETYLENE, TYPE B, 40 CU. FT. CYL.                     120  CUFT     .2631       31.57

              DELIVERY IN   5 DAYS.

                                                                   TOTAL THIS ORDER           $31.57