Business and Finance Division
Contracts and Procurement Department
Details of Purchase Order - 696-9-EX048104
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| Order Type: | F |
F.O.B.: | DESTINATION |
Freight Terms: | PREPAID |
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ITEM DESCRIPTION QTY U/M UNIT PRICE EXTENSION
POINT OF CONTACT: GARZA EAST UNIT MAINTENANCE (361) 358 9880
QUOTE # 285354582
001 165-76 1.0000 EA 518.040000 518.04
JACKSON DISHMACHINE, MOTOR
MANUFACTURER: JACKSON
OEM#: 06105-002-69-78
MODEL#: SPEEDER 64-4
SERIAL#: 120386
PER VENDOR NEW PART # 6105-004-24-80
002 165-76 1.0000 EA 110.240000 110.24
INSINGER MAGNETIC SWITCH
MANUFACTURER: INSINGER
OEM#: DE5-37
MODEL#: SPEEDER 64-4
SERIAL#: 120386
003 165-76 1.0000 EA 369.400000 369.40
INSINGER FOLLOWER SHAFT ASSY UNLOADER
MANUFACTURER: INSINGER
OEM#: 1189-25
MODEL#: SPEEDER 64-4
SERIAL#: 120386
004 165-76 1.0000 EA 105.810000 105.81
HOSHIZAKI DISHMACHINE, BAFFLE
MANUFACTURER: HOSHIZAKI
OEM#: 104324-02
MODEL#: SPEEDER 64-4
SERIAL#: 120386
005 165-76 1.0000 EA 2074.260000 2074.26
INSINGER WASH PUMP & MOTOR
MANUFACTURER: INSINGER
OEM#: 3075-K9
MODEL#: SPEEDER 64-4
SERIAL#: 120386
006 165-76 1.0000 EA 186.960000 186.96
DISHMACHINE, SOLENOID VALVE 1/2" 24V
MANUFACTURER: INSINGER
OEM#: D2930
MODEL#: SPEEDER 64-4
SERIAL#: 120386
007 165-76 1.0000 EA 158.680000 158.68
INSINGER FINAL RINSE SPRAY PIPE
MANUFACTURER: INSINGER
OEM#: D647
MODEL#: SPEEDER 64-4
SERIAL#: 120386
008 165-76 1.0000 EA 9.730000 9.73
DISHMACHINE, SUPPORT BRACKET - CONVEYOR SHAFT
MANUFACTURER: MIDDLEBY MARSHALL
OEM#: 35900-0020
MODEL#: SPEEDER 64-4
SERIAL#: 120386
PER VENDOR NEW PART # 54947
009 165-76 1.0000 EA 122.240000 122.24
INSINGER SOLENOID VALVE 1/4
MANUFACTURER: INSINGER
OEM#: D2941
MODEL#: SPEEDER 64-4
SERIAL#: 120386
010 165-76 1.0000 EA 15.180000 15.18
BUNN SOLENOID VALVE REPAIR KIT
MANUFACTURER: BUNN-O-MATIC
OEM#: 11517.0008
MODEL#: SPEEDER 64-4
SERIAL#: 120386
011 165-76 1.0000 EA 12.120000 12.12
INSINGER VACUUM BREAKER REP KIT 1/2IN
MANUFACTURER: INSINGER
OEM#: D2242A
MODEL#: SPEEDER 64-4
SERIAL#: 120386
012 165-76 1.0000 EA 356.980000 356.98
INSINGER DRAIN VALVE ASSEMBLY
MANUFACTURER: INSINGER
OEM#: 954-50
MODEL#: SPEEDER 64-4
SERIAL#: 120386
013 165-76 1.0000 EA 260.220000 260.22
STERO STRAINER PAN
MANUFACTURER: STERO
OEM#: A10-1530
MODEL#: SPEEDER 64-4
SERIAL#: 120386
014 165-76 1.0000 EA 15.160000 15.16
INSINGER BRASS SPRAY NOZZLE
MANUFACTURER: INSINGER
OEM#: D2773
MODEL#: SPEEDER 64-4
SERIAL#: 120386
015 165-76 1.0000 EA 282.510000 282.51
INSINGER ELEMENT 13.5 KW 208V
MANUFACTURER: INSINGER
OEM#: DE13-BG23
MODEL#: SPEEDER 64-4
SERIAL#: 120386
016 165-76 1.0000 EA 17.050000 17.05
INSINGER BUSHING CONV DR
MANUFACTURER: INSINGER
OEM#: D586-1
MODEL#: SPEEDER 64-4
SERIAL#: 120386
017 165-76 1.0000 EA 55.290000 55.29
DISHMACHINE, VACUUM BREAKER 1/2
MANUFACTURER: CHAMPION
OEM#: 100500
MODEL#: SPEEDER 64-4
SERIAL#: 120386
018 165-76 1.0000 EA 12.680000 12.68
INSINGER BRASS NOZZLE
MANUFACTURER: INSINGER
OEM#: D2698
MODEL#: SPEEDER 64-4
SERIAL#: 120386
019 165-76 1.0000 EA 60.830000 60.83
INSINGER STAINLESS STEEL SMALL BULLET FEET
MANUFACTURER: INSINGER
OEM#: D2406
MODEL#: SPEEDER 64-4
SERIAL#: 120386
020 165-76 1.0000 EA 87.670000 87.67
INSINGER ENTER CURTAIN
MANUFACTURER: INSINGER
OEM#: D2-523
MODEL#: SPEEDER 64-4
SERIAL#: 120386
021 165-76 1.0000 EA 83.490000 83.49
INSINGER EXIT CURTAIN
MANUFACTURER: INSINGER
OEM#: D3-501
MODEL#: SPEEDER 64-4
SERIAL#: 120386
022 165-76 1.0000 EA 86.810000 86.81
INSINGER CENTER CURTAIN
MANUFACTURER: INSINGER
OEM#: D3-508
MODEL#: SPEEDER 64-4
SERIAL#: 120386
023 165-76 1.0000 EA 46.060000 46.06
INSINGER DOOR LATCH ASSY LH
MANUFACTURER: INSINGER
OEM#: D2715A-L
MODEL#: SPEEDER 64-4
SERIAL#: 120386
024 165-76 1.0000 EA 86.960000 86.96
INSINGER SPROCKET
MANUFACTURER: INSINGER
OEM#: D2761
MODEL#: SPEEDER 64-4
SERIAL#: 120386
025 165-76 1.0000 EA 457.220000 457.22
INSINGER CHAIN, CONVEYOR
MANUFACTURER: INSINGER
OEM#: 9014-007
MODEL#: SPEEDER 64-4
SERIAL#: 120386
026 165-76 1.0000 EA 10.410000 10.41
INSINGER MICROSWITCH SPRING
MANUFACTURER: INSINGER
OEM#: 816-58
MODEL#: SPEEDER 64-4
SERIAL#: 120386
027 165-76 1.0000 EA 71.570000 71.57
INSINGER MAGNET SWITCH
MANUFACTURER: INSINGER
OEM#: DE5-14
MODEL#: SPEEDER 64-4
SERIAL#: 120386
028 165-76 1.0000 EA 222.460000 222.46
INSINGER IDLER ARM-DRIVE MECHANIS
MANUFACTURER: INSINGER
OEM#: 1397-2
MODEL#: SPEEDER 64-4
SERIAL#: 120386
029 165-76 1.0000 EA 148.100000 148.10
INSINGER FRONT WASH BAFFLE
MANUFACTURER: INSINGER
OEM#: 1169-38
MODEL#: SPEEDER 64-4
SERIAL#: 120386
030 165-76 1.0000 EA 6.000000 6.00
INSINGER PIPE PLUG 3/4"
MANUFACTURER: INSINGER
OEM#: D2-554-3
MODEL#: SPEEDER 64-4
SERIAL#: 120386
031 165-76 1.0000 EA 4.400000 4.40
INSINGER PIPE PLUG 1/2"
MANUFACTURER: INSINGER
OEM#: D2-554-2
MODEL#: SPEEDER 64-4
SERIAL#: 120386
032 165-76 1.0000 EA 17.900000 17.90
DISHMACHINE, BOWL GASKET
MANUFACTURER: CECILWARE
OEM#: 1013
MODEL#: SPEEDER 64-4
SERIAL#: 120386
033 165-76 1.0000 EA 25.000000 25.00
MANITOWOC DRAIN/SEAL REPLACEMENT
MANUFACTURER: MANITOWOC
OEM#: 7623223
MODEL#: SPEEDER 64-4
SERIAL#: 120386
PER VENDOR NEW PART # 000015240
034 165-76 1.0000 EA 25.000000 25.00
INSINGER TEMPERATURE GAUGE
MANUFACTURER: INSINGER
OEM#: D2495
MODEL#: SPEEDER 64-4
SERIAL#: 120386
035 165-76 1.0000 EA 279.740000 279.74
INSINGER DRIVE SHAFT 7/8
MANUFACTURER: INSINGER
OEM#: 1162-16
MODEL#: SPEEDER 64-4
SERIAL#: 120386
036 165-76 1.0000 EA 36.110000 36.11
SAN JAMAR PLASTIC INSERTS
MANUFACTURER: SAN JAMAR
OEM#: B416
MODEL#: SPEEDER 64-4
SERIAL#: 120386
037 165-76 1.0000 EA 195.120000 195.12
INSINGER UPPER FINAL RISE PIPE FEEDER
MANUFACTURER: INSINGER
OEM#: 1169-174
MODEL#: SPEEDER 64-4
SERIAL#: 120386
038 165-76 1.0000 EA 43.480000 43.48
HOSHIZAKI PRESSURE SWITCH LIST
MANUFACTURER: HOSHIZAKI
OEM#: 463180-01
MODEL#: SPEEDER 64-4
SERIAL#: 120386
039 165-76 1.0000 EA 470.150000 470.15
INSINGER WASH/ RINSE DOOR
MANFUACTURER: INSINGER
OEM#: 1162-9
MODEL#: SPEEDER 64-4
SERIAL#: 120386
040 165-76 1.0000 EA 54.770000 54.77
INSINGER DOOR LATCH ASSEMBLY RH
MANUFACTURER: INSINGER
OEM#: D2715R
MODEL#: SPEEDER 64-4
SERIAL#: 120386
041 165-76 1.0000 EA 56.420000 56.42
INSINGER LEXAN THERMOMETER GUARD 1/8-SINGLE
MANUFACTURER: INSINGER
OEM#: D2-754A
MODEL#: SPEEDER 64-4
SERIAL#: 120386
042 165-76 1.0000 EA 48.020000 48.02
INSINGER STATIONARY STOP
MANUFACTURER: INSINGER
OEM#: 1162-31
MODEL#: SPEEDER 64-4
SERIAL#: 120386
043 165-76 1.0000 EA 55.870000 55.87
INSINGER SUCTION STRAINER
MANUFACTURER: INSINGER
OEM#: D2-541
MODEL#: SPEEDER 64-4
SERIAL#: 120386
044 165-76 1.0000 EA 167.440000 167.44
INSINGER ROCKER ARM
MANUFACTURER: INSINGER
OEM#: D104
MODEL#: SPEEDER 64-4
SERIAL#: 120386
045 165-76 1.0000 EA 273.860000 273.86
INSINGER SCRAP SCREEN 25-7/8 X 9
MANUFACTURER: INSINGER
OEM#: 1162-63
MODEL#: SPEEDER 64-4
SERIAL#: 120386
046 165-76 1.0000 EA 364.370000 364.37
INSINGER FRONT TRACK
MANUFACTURER: INSINGER
OEM#: 1162-36
MODEL#: SPEEDER 64-4
SERIAL#: 120386
047 165-76 1.0000 EA 228.780000 228.78
INSINGER REAR TRACK
MANUFACTURER: INSINGER
OEM#: 1162-52
MODEL#: SPEEDER 64-4
SERIAL#: 120386
PER VENDOR NEW PART # 1477-12
048 165-76 1.0000 EA 91.680000 91.68
INSINGER SCRAP SCREEN SPACER
MANUFACTURER: INSINGER
OEM#: 1162-73
MODEL#: SPEEDER 64-4
SERIAL#: 120386
049 165-76 1.0000 EA 115.190000 115.19
INSINGER SCRAP SCREEN SPACER/FRONT WASH
MANUFACTURER: INSINGER
OEM#: 1162-40
MODEL#: SPEEDER 64-4
SERIAL#: 120386
050 165-76 1.0000 EA 705.230000 705.23
INSINGER UPPER MANIFOLD ASSY
MANUFACTURER: INSINGER
OEM#: 1162-88
MODEL#: SPEEDER 64-4
SERIAL#: 120386
PAYMENT:
PAYMENT SHALL BE MADE THIRTY CALENDAR DAYS AFTER THE LATTER OF
(1) THE DATE AN UNCONTESTED INVOICE IS RECEIVED, (2) THE DATE
GOODS ARE RECEIVED, AND (3) THE DATE SERVICES ARE COMPLETED.
REFER TO TEXAS GOVERNMENT CODE, CHAPTER 2251.
VENDOR MAINTENANCE DIRECT DEPOSIT AND SUBSTITUTE W-9 FORM
(ELECTRONIC FUNDS TRANSFER):
GOVERNMENT CODE 403.016 (C) (3) ENCOURAGES STATE AGENCIES TO
TRANSMIT PAYMENTS TO VENDORS THROUGH ELECTRONIC FUNDS TRANSFER
(DIRECT DEPOSIT). TO SET UP YOUR ACCOUNT, CONTACT AGENCY ACCOUNTS
PAYABLE AT (936)437-8761 OR (936)437-6357.
REGARDLESS AS TO WHETHER DIRECT DEPOSIT IS CHOSEN, THE AWARDED
VENDOR SHALL SUBMIT A COMPLETED VENDOR MAINTENANCE DIRECT
DEPOSIT AND SUBSTITUTE W-9 FORM TO TDCJ ACCOUNTS PAYABLE. VENDORS
WHO HAVE ALREADY SUBMITTED A FORM FOR ANOTHER SEPARATE PURCHASE
ORDER ARE NOT REQUIRED TO SUBMIT ANOTHER FORM. THE VENDOR FORM AND
INSTRUCTIONS ARE FOUND AT THE FOLLOWING LINK ON THE TDCJ WEBSITE:
WWW.TDCJ.STATE.TX.US/DIVISIONS/BFD/ACCT_ACCTS_PAY.HTML
TO ENROLL FOR ADVANCE NOTIFICATION OF ELECTRONIC FUNDS TRANSFER TO
YOUR ACCOUNT, PLEASE CONTACT THE NUMBERS LISTED ABOVE. PAYMENT
INFORMATION MAY BE OBTAINED BY CALLING THE COMPTROLLER OF PUBLIC
ACCOUNTS TOLL FREE AT (800) 531-5441, EXT. 3-3660 OR IN AUSTIN, TEXAS
CALL (512) 936-3461, SELECT OPTION 3 (PIN NOT REQUIRED) AND ENTER
THEIR VENDOR IDENTIFICATION NUMBER AND 696 FOR THE AGENCY NUMBER.
INFORMATION IS AVAILABLE VIA THE INTERNET AT:
HTTPS://FMX.CPA.TEXAS.GOV/FMX/PAYMENT/INDEX.PHP
(NOTE: THIS ADDRESS MUST BE IN LOWER CASE LETTERING WHEN ENTERED
IN THE ADDRESS BAR OF YOUR BROWSER.)
SHIPPING AND INVOICE INSTRUCTIONS:
FAILURE TO FOLLOW THESE SHIPPING AND INVOICE INSTRUCTIONS MAY RESULT
IN MERCHANDISE BEING REJECTED AT THE RECEIVING DOCK AND RETURNED TO
THE VENDOR WITHOUT NOTICE.
SHIPPING INSTRUCTIONS:
1. ENSURE ITEM(S) IS SENT TO THE CORRECT UNIT/DEPARTMENT WITHIN THE
TDCJ AS LISTED ON THE PURCHASE ORDER.
2. DO NOT OVERSHIP. OVERAGES SHALL BE RETURNED AT THE VENDOR'S EXPENSE
UNLESS ITEMS ARE OF INDETERMINABLE QUANTITY SUCH AS SAND OR GRAVEL.
3. SHIP INDIVIDUAL LINE ITEMS COMPLETE.
4. EACH PART SHIPPED SHALL HAVE A PART NUMBER OR BE TAGGED WITH A PART
NUMBER AS IT APPEARS ON THE PURCHASE ORDER. IF ITEMS ARE SHIPPED
WITHOUT A PART NUMBER, THEY WILL BE RETURNED TO THE VENDOR AT
VENDOR'S EXPENSE.
5. INCLUDE OR MARK PURCHASE ORDER NUMBER ON ALL PACKING SLIPS,
CARTONS, PACKAGES, BUNDLES, ETC.
INVOICING INSTRUCTIONS:
1. THE INVOICE MUST BE ITEMIZED WITH THE DESCRIPTION, UNIT PRICE, UNIT
OF MEASURE AND EXTENSION EXACTLY AS LISTED ON THE PURCHASE ORDER.
2. ONLY ITEMS LISTED ON THE PURCHASE ORDER MAY BE BILLED AND PAID FOR
BY THE TDCJ.
3. ANY CHANGES TO THE PURCHASE ORDER ARE ONLY VALID UPON RECEIPT OF A
PURCHASE ORDER CHANGE NOTICE (POCN) FROM THE AUTHORIZED PURCHASER.
4. INVOICES MUST REFERENCE THE PURCHASE ORDER NUMBER. ONLY ONE
PURCHASE ORDER NUMBER ON AN INVOICE. (PURCHASE ORDER NUMBER ALWAYS
BEGINS WITH AN 'E', EXAMPLE - EX000123)
5. VENDOR MUST SUPPLY A VALID PAYEE IDENTIFICATION NUMBER (PIN) ON
EACH INVOICE.
6. INVOICES MUST BE SENT TO ACCOUNTS PAYABLE, P.O. BOX 4018
HUNTSVILLE, TX 77342-4018.
*ONLY DISCOUNTED INVOICES MAY BE EMAILED.
7. DISCOUNTED INVOICES MUST BE EMAILED TO
TDCJ.AP-INVSVS@TDCJ.TEXAS.GOV.
8. SUBMIT SEPARATE INVOICES FOR EACH SHIPMENT/PER LOCATION.
IN ACCORDANCE WITH SECTION 2252.907, GOVERNMENT CODE, THE VENDOR
ACKNOWLEDGES THAT THIS CONTRACT AND INFORMATION CREATED OR
MAINTAINED IN CONNECTION WITH THIS CONTRACT IS PUBLIC INFORMATION
AND SUBJECT TO DISCLOSURE AS PROVIDED BY CHAPTER 552, GOVERNMENT
CODE (TEXAS PUBLIC INFORMATION ACT). THE PUBLIC INFORMATION ACT
MAY REQUIRE THE VENDOR TO MAKE INFORMATION RELATED TO THIS CONTRACT
AVAILABLE TO THE PUBLIC PURSUANT TO A REQUEST FOR PUBLIC INFORMATION.
THE VENDOR AGREES, UPON REQUEST, TO MAKE INFORMATION RELATED TO THIS
CONTRACT THAT IS NOT OTHERWISE EXCEPTED FROM RELEASE BY THE PUBLIC
INFORMATION ACT AVAILABLE TO THE PUBLIC IN HARD COPY, UNLESS THE
REQUESTOR OF THE INFORMATION CONSENTS TO RECEIVE THE INFORMATION IN
ANOTHER MUTUALLY AGREEABLE FORMAT. THE VENDOR ACKNOWLEDGES THAT THE
AGENCY SHALL NOT PROVIDE LEGAL COUNSEL RELATED TO THE VENDOR'S
COMPLIANCE WITH THE PUBLIC INFORMATION ACT.
SECURITY:
WHEN MAKING DELIVERIES TO CORRECTIONAL FACILITIES, CONTRACTOR'S
COMPLIANCE WITH TDCJ SECURITY PROCEDURES IS REQUIRED. THIS
INCLUDES DELIVERIES TO ALL TDCJ UNITS AND WAREHOUSES, OR ANY
OTHER TDCJ OWNED, LEASED, OR CONTRACTED PREMISES. SPECIFIC
REQUIREMENTS INCLUDE, BUT ARE NOT LIMITED TO:
1. ALL CONTRACTOR STAFF OR CONTRACTED DELIVERY SERVICE MAKING
DELIVERIES WITHIN A CORRECTIONAL FACILITY, AND THOSE AREAS
WHERE INMATES ARE ASSIGNED, WILL BE REQUIRED TO HAVE A
SECURITY ESCORT THROUGHOUT THEIR DELIVERY. ALL DELIVERY
STAFF SHALL BE REQUIRED TO FOLLOW THE DIRECTION OF SECURITY
STAFF. DELIVERY STAFF SHALL NOT INTERACT WITH INMATES.
FURTHERMORE, CONTRACTOR STAFF SHALL ADHERE TO THE PROVISIONS
FOUND IN PERSONNEL DIRECTIVE PD-29, "SEXUAL MISCONDUCT WITH
INMATES," WHICH IS LOCATED ON THE TDCJ WEBSITE AT
HTTP://WWW.TDCJ.TEXAS.GOV/DIVISIONS/HR/HR-POLICY/PD-29.PDF.
(NOTE: THIS ADDRESS MUST BE IN LOWER CASE LETTERING WHEN ENTERED
IN THE ADDRESS BAR OF YOUR BROWSER.)
THE CONTRACTOR SHALL NOTIFY EACH OF THE CONTRACTOR'S STAFF
ACCESSING TDCJ'S PREMISES OF THE PROVISIONS WITHIN THIS DIRECTIVE,
PRIOR TO ANY DELIVERY.
2. ALL DELIVERY STAFF AND VEHICLES ARE SUBJECT TO SEARCH AND
INSPECTION WHILE ON TDCJ PROPERTY.
3. ALL VEHICLES WILL BE LOCKED AND SECURED WHEN NOT IN USE.
DRIVERS ARE REQUIRED TO KEEP KEYS IN THEIR DIRECT POSSESSION
AT ALL TIMES.
4. DELIVERY STAFF SHALL NOT INTRODUCE ANY TYPE OF CONTRABAND ONTO
ANY TDCJ FACILITY. EXAMPLES OF CONTRABAND INCLUDE, BUT ARE NOT
LIMITED TO FIREARMS, KNIVES, WEAPONS OF ANY TYPE, TOBACCO OF ANY
TYPE, ALCOHOL, CONTROLLED SUBSTANCES (ILLEGAL DRUGS), PAGERS, AND
CELL PHONES. DELIVERY STAFF MAY NOT CARRY MORE THAN TWENTY-FIVE
DOLLARS ($25.00) IN CASH INTO ANY TDCJ FACILITY.
5. DELIVERY EMPLOYEE'S ATTIRE MUST BE APPROPRIATE OR COMPATIBLE
WITH THE CURRENT BUSINESS ENVIRONMENT.
6. GENERALLY, EX-INMATES SHALL NOT BE ALLOWED INSIDE THE FENCED
PERIMETER OF A FACILITY TO MAKE DELIVERIES UNLESS APPROVED BY
THE UNIT WARDEN. THE WARDEN MAY NOT ALLOW AN EX-INMATE ON
A UNIT OR FACILITY, WHETHER INSIDE OR OUTSIDE THE FENCED
PERIMETER, IF THE WARDEN BELIEVES THE PERSON MAY JEOPARDIZE
THE SAFE AND ORDERLY OPERATION OF THE UNIT OR FACILITY, POSE
A DANGER TO INMATES OR EMPLOYEES, OR PLACE AN UNDUE LOGISTICAL
BURDEN ON STAFF.
7. MINORS AND PETS ARE PROHIBITED FROM TDCJ PROPERTY AND SHALL
NOT BE IN DELIVERY VEHICLE.
TDCJ RESERVES THE RIGHT TO IMMEDIATELY REMOVE AND/OR REFUSE
ENTRY TO ANY INDIVIDUAL WHO HAS VIOLATED THE ABOVE RESTRICTIONS.
THE UNIT WARDEN OR FACILITY ADMINISTRATOR WILL ULTIMATELY BE
RESPONSIBLE FOR INTERPRETING THESE RULES.
FOR QUESTIONS OR INQUIRIES CONTACT:
GUSTAVO ARANA, CTCD
TDCJ CONTRACTS AND PROCUREMENT
TWO FINANCIAL PLAZA SUITE 525
HUNTSVILLE, TX 77340
PH: 936-437-0000 FAX: 325-223-0310
EMAIL: GUSTAVO.ARANA@TDCJ.TEXAS.GOV
ORDER TOTAL:$ 9,308.66
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| Authorization Table | |
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| 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 04/24/2019 | |
| 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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