25193934-0.pdf

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Attached to
Term TX|615-C1|10433908166|25193934
Contract number
25193934
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 25193934) issued by the Texas Department of State Health Services (DSHS) on 7/25/2025, with Staples Contract & Commercial LLC as the contractor. The purchase order is managed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Nicole Smith as the agency purchaser and Terri Lemuel serving as the agency contact.

The purchase order is for 3 packs of Scotch Magic Greener Invisible Tape Refill (3/4" x 25 yds., 10 Rolls) manufactured by 3M Corporation, with a unit price of $16.90 and a total extended price of $50.70. The order is placed under Contract 615-C1, which is a term contract, with a delivery timeline of 3 days after receipt of order (ARO) and a specific delivery date of 7/28/2025. The document includes a state and city sales tax exemption certificate, indicating the purchase is for the exclusive use of the State of Texas, and notes that invoicing should follow specific Texas Administrative Code guidelines.

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Text version

Purchase Order PO No. 25193934

Order Date: 7/25/2025

Internal Tracking No.: 0000380358

Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702

1100 West 49th Street

MC: 3063

Austin TX 78756

Terri Lemuel

(737) 255-4482 1111 W North Loop Austin TX 78756

NOTE TO CONTRACTOR: PO#: CAPPS FIN PO# 0000380358

AGENCY CONTACT:

Terri Lemuel Terri.lemuel@dshs.texas.gov 737-255-4482

AP Email: invoices@dshs.texas.gov

Invoice per 34 TAC §20.487, amended effective 5.1.22

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

Dept Of State Health Services -

Nicole Smith Nicole.Smith1@hhs.texas.gov (512) 776-2039

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61588 329504 Scotch Magic Greener Invisible Tape Refill, 3/4" x 25 yds., 10 Rolls (812-10P) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 7/28/2025

MPN: 329504-1855753

M a n u fa c t u r e r N a m e : 3 M

CORPORATION

3 PACK 16.90 $50.70

Purchase Order PO No. 25193934

Order Date: 7/25/2025

Internal Tracking No.: 0000380358

Total $50.70

File details come from the government source that posted it. Updated .