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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
William P. Hobby Building
333 Guadalupe St.
Tower 3, 9th Floor
Austin, TX 78701
Show numbers on all papers and packages
Referenced Source or Vendor
17428010361
GOMEZ FLOOR COVERING
3816 BINZ ENGLEMAN #B125
SAN ANTONIO, TX 782190000
Jim Walker
Phone:210-651-5002, Fax:210-651-6910
jwalker@gomezfc.com
Description Invitation for Bid, WPH3, WO 515844, Tony Ontiveros
Line Items
Description Qty Unit Unit Price Start Date End Date Total
WPH3 - the demo of existing carpet and installation of new vinyl wood flooring per the specifications, terms and conditions of TFC IFB 303-6-01082. NIGP Class: 910 NIGP Item: 09 Object Class: 266 Reimbursement Type: Reimburseable Notes: Funded by State Board of Public Accountancy (457) Cost per vendor bid. Services performed under this agreement are not considered complete for purposes of payment until TFC, or its authorized designee, inspects and accepts the work performed by the vendor. TFC Contact: Tony Ontiveros @ 512-463-8136 1 job $22,763.66 3/11/2016 8/31/2016 $22,763.66
          Grand Total $22,763.66
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 Services $5000.01 thru $25000 - Q
Work Order Number 515844

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