26000503-0.pdf

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Attached to
Term TX|615-C1|18621616889|26000503
Contract number
26000503
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26000503) issued by the Texas Health & Human Services Commission on 9/8/2025, involving ODP Business Solutions, LLC, a contractor based in Boca Raton, Florida. The purchase order is for the Texas Statewide Procurement Division, with the goods being shipped to Heather Clark in Temple, Texas. The document includes a state sales tax exemption certificate under Texas Tax Code, Section 151.309(4).

The purchase order details the procurement of 12 HP 62 Black and Tri-Color Ink Cartridge Packs (MPN: N9H64FN) manufactured by HP INC., at a unit price of $33.34, totaling $400.08. The order is made under Contract 615-C1, which is a term contract, with a rapid delivery timeframe of 2 days after receipt of order (ARO), specifically scheduled for delivery on 9/10/2025. The internal tracking number for this purchase is HHSTX-6-0000385010, which must be referenced on the invoice by the contractor.

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Text version

Purchase Order PO No. 26000503

Order Date: 9/8/2025

Internal Tracking No.: HHSTX-6-0000385010

Contractor Info Bill To Ship To ODP Business Solutions, LLC 18621616889 6600 N. Military Trail Boca Raton, FL 33496

(832) 477-6118

1100 W 49th Street Austin TX 78756

Heather Clark 4501 S General Bruce Dr Suite 25 Temple TX 76502

NOTE TO CONTRACTOR: Reference PO HHSTX-6-0000385010 on Invoice

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

Vickie Anderson Vickie.Anderson@hhs.texas.gov (512) 406-2426

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 57547 924627 Hp 62 Black And Tri-Color Ink Cartridges, Pack Of 2, N9H64Fn Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: 9/10/2025 N o t e s : R e f e r e n c e P O

HHSTX-6-0000385010

Ship to ATTN: Heather Clark

MPN: N9H64FN

Manufacturer Name: HP INC.

12 EACH 33.34 $400.08

Total $400.08

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