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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: 3/11/2016
Released
Delivery Location
Brown-Heatly Building
4900 N. Lamar Blvd.
6th floor
Austin, TX 78751
Show numbers on all papers and packages
Referenced Source or Vendor
12744023297000
Rockford Business Interiors - Flooring
McCoy-Rockford Inc. DBA
211 East Riverside Drive
Austin, TX 78767
Christi Wade
Phone:512-416-4348, Fax:512-444-5393
cwade@rockford-texas.com
Description Rockford, BHB, WO 521142, Tony Ontiveros
Line Items
Description Qty Unit Unit Price Start Date End Date Total
TXMAS-13-72050 BHB - replace carpet and cove base on the 6th floor NIGP Class: 910 NIGP Item: 09 Object Class: 266 Reimbursement Type: Reimburseable Notes: Funded by Health and Human Services Commission (529) TFC Contact: Tony Ontiveros @ 512-463-8136 SmartBuy PO 16089681 1 job $50,938.30 3/11/2016 8/31/2016 $50,938.30
          Grand Total $50,938.30
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 Facilities Design and Construction
Program Minor Construction
Phone 5124638136
Org Code 0822 - Minor Construction
Type of Purchase/PCC Code TXMAS - X
Work Order Number 521142

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