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CONTRACT PURCHASE ORDERIn accordance with the contract between the Contractorand the Texas Comptroller of Public Accounts |
Agency to Invoice
DSHS: Fiscal Claims Purchase Order Number 1 0 0 0 4 3
1100 W 49th St Main Bldg(DHG) Requisition 537-1-65006
PO Box 149347
AUSTIN TX 78756 09/1/10 1
Destination if Different
DSHS:Health Info. and Vital S
1100 W 49th St Vital Stats.
PO Box 149347
AUSTIN TX 78756
THE STATE OF TEXAS IS EXEMPT FROM ALL FEDERAL EXCISE TAXES | 82663 | Contractor VID#: 1-71-042-7007-3 COMP FEDEX GOVERNMENT SERVICES 6625 LENOX PARK, 3RD FLOOR MEMPHIS TN 38115 |
FOR AGENCY USE ONLY: Buyer Location 111A3
**** ENTERED BY 29BLINCOE RICK ****
*** FOR DELIVERY AND INVOICING AFTER SEPTEMBER 1 ***
CONTACT AT AGENCY: Rick Blincoe CTPM, PHONE: 512-206-5468
VENDOR CONTACT: FEDEX CUSTOMER SERVICE, PHONE: 800-645-9424
SERVICE PERIOD FOR CONTRACT NO. 962-A1
START DATE: 09/01/2010
END DATE: 08/31/2011
AMOUNT REFLECTED IS AN ESTIMATE FOR DESIGNATED
PERIOD OF SERVICE. AMOUNTS NOT USED PRIOR TO THE
EXPIRATION DATE WILL BE AUTOMATICALLY CANCELLED.
AGENCY DELIVERY CONTACT INFORMATION:
NAME: Alice F. Lee
TELEPHONE NO: 512-458-7367
VENDOR TO PROVIDE DELIVERY CONTACT INFORMATION TO
SHIPPING/FREIGHT PROVIDER
Description Quantity Unit Unit Extended
Price Amount
962-24 BLANKET ORDER - OVERNIGHT, SECOND DAY AND GROUND
DELIVERY SERVICES
18100-6 FEDEX - ESTIMATED DOLLAR AMOUNT PER CONTRACT YEAR 250000 EA 1.00 250000.00
TOTAL THIS ORDER $250,000.00