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 1 0
      ACCOUNTS PAYABLE                     477                 Requisition  696-0-62968
      P O BOX 4018
      HUNTSVILLE         TX 77342-4018                                       08/4/10         1


         Destination if Different  
      TDCJ REGION IV MAINTENANCE           696
      CHASEFIELD                           743
      111 BYRD ST. BLDG. 1046
      BEEVILLE TX 78102

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: YVONNE GUTERREZ
              TELEPHONE NO: 361-362-6369
              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: EOA62968/R0154859

                   Description                                  Quantity  Unit      Unit    Extended
                                                                                   Price      Amount

      430-01  GASES: 013, BEE CO., HOSPITAL, LABORATORY
               AND WELDING DEPARTMENT OF CRIMINAL
               JUSTICE/INST. - DIV. SOUTHWESTERN AREA
               FACILITIES OFFICE BUILDING 1003 CHASE FIELD
               BEEVILLE, TX 78102

     30027-6  NITROGEN, 230 CU. FT. CYL.                             230  CUFT      .024        5.52

     30999-6  CYLINDER RENTAL, DAILY RATE                             25  DAY        .10        2.50

              DELIVERY IN   5 DAYS.

                                                                   TOTAL THIS ORDER            $8.02