 |
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 2 8
ACCOUNTS PAYABLE 477 Requisition 696-0-63030
P O BOX 4018
HUNTSVILLE TX 77342-4018 08/10/10 1
Destination if Different
TDCJ BUFFALO RANCH 696
14391 PRIVATE ROAD 4007 303
SOMERVILLE TX 77879
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: CINDY JARROTT
TELEPHONE NO: 979-272-1797
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: EOA63030/R0156108
Description Quantity Unit Unit Extended
Price Amount
430-02 GASES: 026, BURLESON CO., GASES FOR HOSPITAL,
LABORATORY AND WELDING USE. FOR ALL QUALIFIED
ENTITIES WITHIN THE COUNTY NOT OTHERWISE
IDENTIFIED
69005-5 ACETYLENE, 398 CU. FT. CYL. 398 CUFT .1866 74.27
69035-2 OXYGEN, IND. 251 CU. FT. CYL. 1255 CUFT .023 28.87
69999-9 CYLINDER RENTAL, DAILY RATE 90 DAY .10 9.00
DELIVERY IN 5 DAYS.
TOTAL THIS ORDER $112.14