Business and Finance Division

PURCHASE ORDER TEXAS DEPARTMENT OF CRIMINAL JUSTICE Tax Exempt Agency of Texas State Government

	ORDER DATE: INVITATION/REQUEST NO: PURCHASE ORDER NO:
AGENCY NAME AND ADDRESS DESTINATION OF GOODS	VENDOR NAME AND ADDRESS VENDOR PHONE NO. VENDOR ID NO. PERSON CONTACTED: CASH DISCOUNT: % DAYS OR NET 30

Order Type:

F.O.B.:

Freight Terms:

Name of Authorized Purchaser	Signature of Authorized Purchaser
All terms and conditions set forth in the referenced Invitation/Request become a part of this purchase order. In accordance with your bid/offer, item(s) must be received at the destination address on or before
Seller agrees that any payments due under this contract will be applied towards any debt, including but not limited to delinquent taxes and child support that is owed to the State of Texas.
STATE AND CITY SALES TAX EXEMPTION: The undersigned claims an exemption from taxes under Chapter 151, Section 309, Texas Tax Code, for the purchase of services/tangible personal property purchased from the contractor and/or shipper listed above, as these are being secured for the exclusive use of the State of Texas.

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