25212291-0.pdf

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Attached to
Term TX|615-C1|10433908166|25212291
Contract number
25212291
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 25212291) issued by the Texas Health and Human Services Commission (HHSC) on 7/30/2025, with an internal tracking number HHSTX-5-0000380942. The purchase order is placed with Staples Contract & Commercial LLC, located in Framingham, MA, under Contract 615-C1, which appears to be a term contract. The billing and shipping addresses are both in Austin, Texas, with the specific shipping contact being Kayla Sierra.

The purchase order is for one pack of HP 305A Black/Cyan/Magenta/Yellow Standard Yield Toner Cartridges (MPN: 24419779-1855753), manufactured by HP Inc. The total cost is $433.73, with a unit price of $433.73 for the pack. The delivery is set for 8/4/2025 with a 3-day ARO (After Receipt of Order) timeline. The document includes a state sales tax exemption certificate under Texas Tax Code, Section 151.309(4), indicating the purchase is for the exclusive use of the State of Texas. The agency purchaser is Ron Connell from the Health & Human Services Commission.

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Text version

Purchase Order PO No. 25212291

Order Date: 7/30/2025

Internal Tracking No.: HHSTX-5-0000380942

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

Health and Human Services Commission 4601 Guadalupe St Austin TX 78751

Kayla Sierra

(512) 952-1894 1111 W North Loop Austin TX 78756

NOTE TO CONTRACTOR: Agency: 529-HHSC

Agency Contact: Kayla Sierra, Kayla.Sierra@hhs.texas.gov, 512-952-1894

Accounts Payable: HHSC_AP@hhsc.state.tx.us, 512-438-4222

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

Health & Human Services Commission - 529

Ron Connell Ron.Connell@hhs.texas.gov (830) 285-2032

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 20772 24419779 H P 3 0 5 A B l a c k / C y a n / M a g e n t a / Ye l l o w Standard Yield Toner Cartridge, 4/Pack Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 8/4/2025

MPN: 24419779-1855753

Manufacturer Name: HP INC.

1 PACK 433.73 $433.73

Total $433.73

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