Purchase Order PO No. 20066528 Order Date: 2/13/2020 Internal Tracking No.: PR 25818 / TWC PO 20-0003810 Contractor Info Bill To Ship To HD Supply Facilities Maintenance, Ltd. 101 EAST 15TH ST., Lynnette Rene Swonke 15224188522 Accts Payable: [email protected] CCRC 101 Riverview Parkway Accts Payable: [email protected] (512) 377-0327 Santee, CA 92071 AUSTIN TX 78701 4800 N LAMAR BLVD MC 6804 (877) 610-6912 AUSTIN TX 78756 NOTE TO CONTRACTOR: PR 25818 / TWC PO 20-0003810 Disclaimer The State of Texas is exempt from all Federal Excise Taxes except as noted in each contract. STATE AND CITY SALES TAX EXEMPTION CERTIFICATE: The undersigned claims an exemption from taxes under Texas Tax Code, Section 151.309(4), for purchase of tangible personal property described in this numbered order, purchased from contractor and/or shipper listed above, as this property is being secured for the exclusive use of the State of Texas, or a Texas County, City, Special District, or Other Political Subdivision. Texas Comptroller of Public Accounts ± Statewide Procurement Division Agency Purchaser Email Phone Texas Workforce Commission - 320 Wilma Richard [email protected] (512) 936-3328 Commodity Line NIGP Code/ Supplier Item QTY UOM Unit Price Extended Price # Code Part # 1 34565 122417 Zebra Pen F-301 Black W/Stainless 3 BOX 12.09 $36.27 Steel Barrel Ballpoint Pen .7mm 4/ Box(122417) Contract: TXMAS-17-51V03 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: 2/24/2020 Notes: PR 25818-01 / TWC PO 20-0003810 MPN: 27112 Manufacturer Name: Zebra Pen Purchase Order PO No. 20066528 Order Date: 2/13/2020 Internal Tracking No.: PR 25818 / TWC PO 20-0003810 Commodity Line NIGP Code/ Supplier Item QTY UOM Unit Price Extended Price # Code Part # 2 48505 316114 Pilot G-2 Retractable Gel Ink 1 DOZ 18.99 $18.99 Rollerball Pen, Fine, Black, Pack Of 12(316114) Contract: TXMAS-17-51V03 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: 2/24/2020 Notes: PR 25818-02 / TWC PO 20-0003810 MPN: 790761 Manufacturer Name: Pilot 3 34565 122432 FORAY Soft-Grip Black W/ 2 PKG 12.48 $24.96 Transparent Blue Barrel Retractable Gel Pen 0.5mm 12-Pk(122432) Contract: TXMAS-17-51V03 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: 2/24/2020 Notes: PR 25818-03 / TWC PO 20-0003810 MPN: RTP-024924 Manufacturer Name: FORAY 4 20510 110665 Of®ce Depot Brand Staples, 9 BOX 2.48 $22.32 Standard 1/4", Pack Of 5,000(110665) Contract: TXMAS-17-51V03 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: 2/24/2020 Notes: PR 25818-04 / TWC PO 20-0003810 MPN: 766967 Manufacturer Name: Of®ce Depot 5 48505 242543 Of®ce Depot Brand Plastic Ruler, 6", 1 EACH 1.99 $1.99 Assorted Colors(242543) Contract: TXMAS-17-51V03 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: 2/24/2020 Notes: PR 25818-05 / TWC PO 20-0003810 MPN: NB-20110517 Manufacturer Name: Of®ce Depot Purchase Order PO No. 20066528 Order Date: 2/13/2020 Internal Tracking No.: PR 25818 / TWC PO 20-0003810 Commodity Line NIGP Code/ Supplier Item QTY UOM Unit Price Extended Price # Code Part # 6 48505 317360 Brother TZe-231 Black-On-White 1 EACH 39.41 $39.41 Tapes, 1/2" x 26©3", Pack Of 2(317360) Contract: TXMAS-17-51V03 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: 2/24/2020 Notes: PR 25818-06 / TWC PO 20-0003810 MPN: 479596 Manufacturer Name: Brother Total $143.94.