26003097-0.pdf

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Attached to
Term TX|615-C1|10433908166|26003097
Contract number
26003097
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26003097) issued by the Texas Health and Human Services Commission (HHSC), dated 9/24/2025, with Staples Contract & Commercial LLC as the contractor. The order is for the San Antonio office location, with billing and shipping addresses in San Antonio, Texas. The document includes tax exemption information and is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division.

The purchase order covers two line items: 3 Smead Heavy Duty Expanding File folders (Letter Size, 12 Pockets, Blue/Black) at $5.49 each, totaling $16.47, and 4 Pentel Sharp Mechanical Pencils (0.5Mm, 2 Medium Lead) at $2.48 each, totaling $9.92. The total order value is $26.39. The items are purchased under Contract 615-C1, which is a term contract with a 3-day delivery window (scheduled for 9/29/2025). The order is tax-exempt and will be fulfilled by the manufacturers Smead Manufacturing and Pentel of America Ltd, respectively.

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Text version

Purchase Order PO No. 26003097

Order Date: 9/24/2025

Internal Tracking No.: HHSTX-6-0000386015

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

San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223

Marsha Ridyolph

(210) 531-3844 5900 S Presa St San Antonio TX 78223

NOTE TO CONTRACTOR: Agency: 529-HHSC

Agency Contact: Marsha Ridyolph, marsha.ridyolph@hhs.texas.gov, 210-531-3844

Accounts Payable: SAHAccounting@dshs.texas.gov, 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 61541 811574 Smead Heavy Duty Expanding File With Flap Elastic Cord Closure, Letter Size, 12 Pockets, Blue/Black (70863) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 811574-1855753

Manufacturer Name: SMEAD

MANUFACTURING

3 EACH 5.49 $16.47

Purchase Order PO No. 26003097

Order Date: 9/24/2025

Internal Tracking No.: HHSTX-6-0000386015

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 62060 499657 Pentel Sharp Mechanical Pencil, 0.5Mm, 2 Medium Lead (P205A) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 499657-1855753

Manufacturer Name: PENTEL OF

AMERICA LTD

4 EACH 2.48 $9.92

Total $26.39

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