Business and Finance Division

Contracts and Procurement Department

Details of Purchase Order - 696-9-EX076049

Purchase Order
Texas Department of Criminal Justice
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Title Table

PURCHASE ORDER

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

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Order Table
ORDER DATE:
08-31-19
INVITATION/REQUEST NO:
PURCHASE ORDER NO:
696-9-EX076049
Agency Table
AGENCY NAME AND ADDRESS
TEXAS DEPT. OF CRIMINAL JUSTICE    
ACCOUNTS PAYABLE / 696-9-EX076049  
P.O. BOX 4018                      
HUNTSVILLE, TX 77342-4018          
DESTINATION OF GOODS
TDCJ                                   
HODGE UNIT MAINTENANCE                 
379 FM 2972 WEST                       
RUSK, TX 75785                         
Vendor Table
VENDOR NAME AND ADDRESS
AIRGAS USA LLC
11111 N LAMAR BLVD

AUSTIN, TX 78753 3058
Vendor Data Table
VENDOR PHONE NO.
512 993 0602
VENDOR ID NO.
1453153734
PERSON CONTACTED:
KEVIN LOYA
CASH DISCOUNT:
NET
%
DAYS OR NET 30
Data Table
Order Type:
C
F.O.B.:
DESTINATION
Freight Terms:
PREPAID
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Detail Table
ITEM          DESCRIPTION                 QTY       U/M        UNIT PRICE       EXTENSION
      PAYMENT PURPOSES ONLY FOR AUGUST RENTAL.
001  981-41-312626                        93.0000    EA            .140000          13.02
     CYLINDER RENTAL
     AUGUST INVOICE
     GAS - CYLINDER RENTAL
     DAILY RATE
     FOR QUESTIONS OR INQUIRIES CONTACT:
     JENNIFER KIMICH, CTCD, CTCM
     DEPUTY DIRECTOR CONTRACTS AND PROCUREMENT
     TWO FINANCIAL PLAZA, SUITE 703
     HUNTSVILLE, TX 77340
     PH:  936-437-3814
     EMAIL: JENNIFER.KIMICH@TDCJ.TEXAS.GOV
ORDER TOTAL:$         13.02
10/14/2019

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Authorization Table
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 10/14/2019
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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