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 3 0 8
      ACCOUNTS PAYABLE                     477                 Requisition  696-0-62966
      P O BOX 4018
      HUNTSVILLE         TX 77342-4018                                       08/4/10         1


         Destination if Different  
      TDCJ FERGUSON UNIT                   696
      FARM OFFICE                          164
      FM 247 7 MILES SOUTH
      MIDWAY TX 75852

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: BRETT SMITH
              TELEPHONE NO: 936-348-3751 X371
              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: EOA62966/R0155444

                   Description                                  Quantity  Unit      Unit    Extended
                                                                                   Price      Amount

      430-15  GASES: 154, MADISON CO., HOSPITAL, LABORATORY AND
               WELDING.   DEPARTMENT OF CRIMINAL JUSTICE/INST.
               DIV. -  FERGUSON UNIT - MIDWAY
               INSIDE DELIVERY

     43005-1  ACETYLENE, 398 CU. FT. CYL.                           1990  CUFT     .1866      371.33

     43025-9  OXYGEN, IND., 251 CU. FT. CYL.                        2510  CUFT      .023       57.73

     43999-5  CYLINDER RENTAL, DAILY RATE                            375  DAY        .10       37.50

              DELIVERY IN   5 DAYS.

                                                                   TOTAL THIS ORDER          $466.56