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SAMPLE A: EXAMPLE BLANKET PURCHASE ORDER 715-N1 NON-AUTOMATED CONTRACT PURCHASE ORDER Texas Comptroller of Public Accounts PO BOX 13186, AUSTIN, TX 78711 BAKER & TAYLOR Contractor & Shipper ACCOUNTING SERVICE REQUISITION NO.M1234-8-1_(Acct #-FY-Order #) Address 2550 WEST TYVOLA SUITE 300 DATE _09/13/07________ City _CHARLOTTE, NC 28217 SIGN HERE _________________________________ Authorized Signature ACCOUNTING INFO HERE _________________________________ Agency Accounting Information ITEM ZONE QUANTITY CATALOG UNIT PRICE EXTENSION 1. 2. CPA Contract 715-N1 715-10-73 CATEGORY 12 JUVENILE TRADE HARD COVER, NON-FICTION, Discount 40% The pricing reflected on this order includes the 715-N1 contractual discounts of 40% and cataloging services 715-05-43 Category 6, Spoke Word Audio CD – Unabridged prerecorded, Commercially Produced for General Audiences. The pricing reflected on this order includes the 715-N1 contractual discounts of 34% TOTAL Blanket Order – Period Covered: From: 09/13/07 To: 09/12/08 CO-OP Number: M1234 Ordering Entity Contact Name/Phone No: 1 Lot 1 Lot $5,000.00 $2,000.00 $5,000.00 $2,000.00 $7,000.00 08320 VENDOR # ON ALL PAPERS AND PACKAGES SHOW THIS NO. All items must meet all applicable OSHA standards & regulations, and bear the appropriate listing from UL, FMRC or NEMA. STATE SALES TAX EXEMPTION CERTIFCATE: The undersigned claims an exemption from taxes under Chapter 20, Title 122A, Revised civil Statues of Texas, 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. Agency Invoice Address Library Name PO Box 1234 Anytown, TX 78711 ________________________________________________ Agency Destination Address Library Name 1234 Any Street Anytown, TX 78711
