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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: 11/30/2015
Released
Delivery Location
Department of Health New Plant
1100 W. 49TH Street
Austin, TX 78701
Show numbers on all papers and packages
Referenced Source or Vendor
10609917165
Carrier Commercial Service
1130 Rutherford Lane Suite #100
Austin, TX 78753
Keith Hanes
Phone:512-719-6400, Fax:512-719-6499
edward.k.hanes@carrier.utc.com
Description Emergency PO# 303-6-8000 DHNP- Diagnose fill controller
Line Items
Description Qty Unit Unit Price Start Date End Date Total
Emergency PO# 303-6-8000 BUILDING: DHNP LOCATION: Mechanical Room HISTORY: DA tank overfilling, no control on the fill valve DESCRIPTION: Diagnose fill controller JUSTIFICATION: This tank controls make-up water to the boilers; we are controlling the valve manually 24/7. This valve needs corrected ASAP. FUNDING: (HB3042) OVERSIGHT RESPONSIBILITIES: Dan Simms 512-463-3532 NIGP Class: 910 NIGP Item: 36 Object Class: 266 Reimbursement Type: HB3042 Notes: Emergency PO# 303-6-8000 Confirming order - work has already been performed Not to exceed $700.00, unless prior authorization is provided by agency. 1 Job $700.00 10/5/2015 11/30/2015 $700.00
          Grand Total $700.00
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 5124633577
Org Code 0442 - Facility Maintenance
Type of Purchase/PCC Code Services Purchase $5000 or less - E
Work Order Number 512668

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