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PURCHASE ORDER          

PO Number:
Requisition Number:
MAIL INVOICE TO AGENCY BELOW
TEXAS FACILITIES COMMISSION
FISCAL MANAGEMENT / ACCOUNTS PAYABLE
P.O. BOX 13047 Austin, Texas 78711-3047
OR
email to: accountspayable@tfc.state.tx.us
Order Date: 10/14/2015
Released
Delivery Location
Health & Human Services Warehouse
1111 North Loop Blvd
Austin, TX 78756
Show numbers on all papers and packages
Referenced Source or Vendor
17460000858
CITY OF AUSTIN
PO BOX 1088
AUSTIN, TX 787678865
Pam McAndrews
Phone:512-974-5730, Fax:512-974-6697
Description APD- Permit application fee ($50.00)
Line Items
Description Qty Unit Unit Price Start Date End Date Total
BUILDING: Human Services Warehouse 2016 Annual Permit Fee ($50.00) for alarm system at 1111 W North Loop Blvd (HSW) . (see attached) CONTRACT TERM: 1 year from purchase order release date. OVERSIGHT RESPONSIBILITY: Koy Livingston, 463-7055 NOTE FEES: Burglary Alarm: The 1st three false alarms within 12 month continuous period are free. 4-5 false alarms the fee is $50.00 each call 6-7 false alarms the fee is $75.00 each call 8 + false alarms the fee is $100.00 each call Robbery /Panic Alarm: The 1st two false alarms within 12 month continuous period are free. 3 + false alarms the fee is $100.00 each call Late Payment: The late penalty payment fee is $5.00 each month Non-Permitted: If the Alarm site is not permitted, a $200 fee will be charged for each response to an alarm. NIGP Class: 963 NIGP Item: 64 Object Class: 210 Reimbursement Type: HB3042 Notes: §791 – Interlocal Cooperation Contracts 1 yr $50.00 11/3/2015 11/3/2016 $50.00
          Grand Total $50.00
Questions or concerns regarding this transaction or service should be directed to: Texas Facilities Commission Procurement Division, Phone: (512)463-0209 or FAX: (512)236-6164 (The mailing address for the Texas Facilities Commission is at the top of this purchase order.)

Agency TFC
Fiscal Year 2016
Division Planning and Real Estate Mgmt
Program Property Management
Phone 5124638710
Org Code 0441 - Maint.-Capitol Zone
Type of Purchase/PCC Code Exempt With Specific Legal Citation - "-"
Work Order Number na

ALL TERMS AND CONDITIONS SET FORTH IN OUR BID INVITATION BECOME A PART OF THIS ORDER. VENDOR GUARANTEES MERCHANDISE WILL MEET OR EXCEED SPECIFICATIONS IN THE BID INVITATION.

Invoicing Standards
To facilitate payments from Texas Facilities Commission please follow the invoicing standards set forth below.

The invoice should include, but is not limited to including:
(1)    the vendor’s mailing and e-mail (if applicable ) address;
(2)    the vendor’s telephone number;
(3)    the name and telephone number of a person designated by the vendor to answer questions regarding the invoice;
(4)    the state agency requisition number;
(5)    the state agency’s name, agency number, and delivery address;
(6)    the commission’s purchase order number, if applicable;
(7)    the contract number or other reference number if applicable;
(8)    a valid Texas Identification Number (TIN) issued by the Comptroller of Public Accounts;
(9)    a description of the goods or services, in sufficient detail to identify the order which relates to the invoice;
(10)  unit numbers corresponding to the original order; and
(11)  other relevant information supporting and explaining the payment requested or identifying a successor organization to an original vendor, if necessary.

FOB DESTINATION CASH DISCOUNT: 0% 0 DAYS.

TEXAS FACILITIES COMMISSION INTERNAL PURCHASING

PURCHASER: _________________________________________________________________________
Gresham, Colin - CTPM, 5129360647


(IN ACCORDANCE WITH YOUR BID, SUPPLIES MUST BE PLACED IN THE AGENCY RECEIVING ROOM IN DAYS FROM RECEIPT OF ORDER.)

STATE AND CITY SALES TAX EXEMPTION CERTIFICATE: The undersigned claims an exemption from taxes under Chapter20, Title 122A, Revised Civil Statutes of Texas, for purchase of tangible personal property described in this number order, purchased from contractor and/or shipper listed above, as this property is being secured for the exclusive use of the State of Texas