26003728-0.pdf

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Attached to
Term TX|615-C1|10433908166|26003728
Contract number
26003728
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26003728) issued by the Texas Health & Human Services Commission (HHSC) on 9/26/2025, with an internal tracking number of HHSTX-6-0000386318. The purchase order is awarded to Staples Contract & Commercial LLC, located in Framingham, Massachusetts, with delivery and billing addresses in Mexia and Waco, Texas, respectively. The agency contact is Amanda Rodriguez, and the HHSC buyer is Carlos M Mojica.

The purchase order is for 12 packs of Avery Self-Adhesive Tabs with Printable Inserts (2", Clear, 25/Pack) at a unit price of $3.02, totaling $36.24. The items are ordered under Contract 615-C1, which is a term contract with a delivery timeframe of 3 days after receipt of order (ARO), with a specific delivery date of 9/29/2025. The manufacturer is Avery Products Corporation, and the item is identified by NIGP Code 61543 and MPN 113373-1855753. The State of Texas is exempt from federal excise taxes, and the purchase is covered under a state and city sales tax exemption certificate.

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Text version

Purchase Order PO No. 26003728

Order Date: 9/26/2025

Internal Tracking No.: HHSTX-6-0000386318

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

424 Mesquite Dr Mexia SSLC Mexia TX 76667

3501 N 19th St Waco TX 76708

NOTE TO CONTRACTOR: PO#: HHSTX-6-0000386318

AGENCY CONTACT:

Amanda Rodriguez amanda.rodriguez@hhs.texas.gov +1 (254) 296-5923

HHSC BUYER:

Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov

DELIVERY:

3501 N 19th St Waco TX 76708

Invoice per 34 TAC §20.487, amended effective May 1, 2022

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

Carlos-M Mojica carlos.mojica01@hhs.texas.gov (512) 705-1880

Purchase Order PO No. 26003728

Order Date: 9/26/2025

Internal Tracking No.: HHSTX-6-0000386318

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61543 113373 Avery Self-Adhesive Tabs With Printable Inserts, 2", Clear, 25/Pack (16241) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 113373-1855753

Manufacturer Name: AVERY

PRODUCTS CORPORATION

12 PACK 3.02 $36.24

Total $36.24

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