26003768-0.pdf

PDF 23 KB Posted Sep 26, 2025

Attached to: Term TX|615-C1|10433908166|26003768
Contract number: 26003768
Issued by: Texas

About this file

Written by GovTribe AI · Sep 29, 2025

This is a Purchase Order (PO No. 26003768) issued by the Texas Department of State Health Services (DSHS) on 9/26/2025, with Staples Contract & Commercial LLC as the vendor. The purchase order is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with the specific transaction managed by HHSC Buyer Santino Campos and Agency Contact Tami Kenroy.

The purchase order covers a comprehensive set of office supplies under Contract 615-C1, including dry erase markers, gel pens, masking tape, highlighters, document stands, rubber bands, binder clips, ink cartridges, batteries, and whiteboard cleaning supplies. The order consists of 21 line items totaling $1,742.32, with quantities ranging from 1 to 15 units per item. Manufacturers include Sanford, Pilot, 3M, Brother, HP, Alliance Rubber, Duracell, and Uni-Ball. All items are set for a 3-day delivery period, with a scheduled delivery date of 9/29/2025, and the order is exempt from federal excise taxes under Texas Tax Code guidelines.

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Purchase Order PO No. 26003768

Order Date: 9/26/2025

Internal Tracking No.: 0000386344

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

1100 W 49TH ST

Laboratory L114 FLOOR: 2nd

AUSTIN TX 78756-3101

NOTE TO CONTRACTOR: PO#: 0000386344

AGENCY CONTACT:

Tami Kenroy tami.kenroy@dshs.texas.gov

HHSC BUYER:

Santino Campos, CTCD,CTCM Santino.Campos@hhs.texas.gov

VENDOR:

800-674-7477 governmentteam@staples.com

AP Email: invoices@dshs.texas.gov

DELIVERY: Add any delivery notes from the Requisition, if applicable.

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 -

Santino Campos Santino.Campos@hhs.texas.gov (210) 986-4475

Order Date: 9/26/2025

Internal Tracking No.: 0000386344

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62090 1971247 Expo Magnetic Dry Erase Markers With Eraser, Chisel Tip, Assorted, 4/Pack (1944728) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 1971247-1855753

Manufacturer Name: SANFORD

CORP

4 PACK 4.61 $18.44

2 62080 1145057 Pentel Energel Rtx Retractable Gel Pen, Medium Point, Green Ink (Bl77- D) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 1145057-1855753

Manufacturer Name: PENTEL OF

AMERICA LTD

12 EACH 1.28 $15.36

3 83252 812042 Highland8482; Masking Tape, 2 X 60 Yards, White (Mmm26002) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 812042-1855753

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

CORPORATION

103 ROLL 2.63 $270.89

4 62080 658927 Pilot Precise V5 Rt Retractable Rollerball Pens, Extra Fine Point, Blue Ink, Dozen (26063) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 658927-1855753

Manufacturer Name: PILOT CORP

9 DOZ 12.24 $110.16

5 61575 599992 Alliance Pale Crepe Gold Multi- Purpose Rubber Bands, 33, 1 Lb.

Box, 970/Box (20335) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 599992-1855753

Manufacturer Name: ALLIANCE

RUBBER

3 BOX 6.69 $20.07

Order Date: 9/26/2025

Internal Tracking No.: 0000386344

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

6 78543 515621 Staples Booklift Plastic Document Stand With Lip, Black (88980) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 515621-1855753

Manufacturer Name: FELLOWES

1 EACH 8.35 $8.35

7 62090 490340 Sharpie Liquid Highlighter, Chisel Tip, Pink, Dozen (1754464) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 490340-1855753

Manufacturer Name: SANFORD

CORP

2 DOZ 10.85 $21.70

8 62090 490338 Sharpie Liquid Highlighter, Chisel Tip, Green, Dozen (24426/1754468) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 490338-1855753

Manufacturer Name: SANFORD

CORP

1 DOZ 10.85 $10.85

9 62090 438167 Sharpie Liquid Highlighter, Chisel Tip, Yellow, Dozen (1754463) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 438167-1855753

Manufacturer Name: SANFORD

CORP

1 DOZ 10.85 $10.85

10 45006 287201 Duracell 303/357/76 Silver Oxide Battery (D303/357Ea) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 287201-1855753

Manufacturer Name: DURACELL

DISTRIBUTING INC.

10 EACH 3.25 $32.50

Order Date: 9/26/2025

Internal Tracking No.: 0000386344

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

11 62080 658923 Pilot Precise V5 Rt Retractable Rollerball Pens, Extra Fine Point, Black Ink, Dozen (26062) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 658923-1855753

Manufacturer Name: PILOT CORP

2 DOZ 12.24 $24.48

12 20772 24401674 Brother Tn660 Black Toner Cartridge, High Yield, 2/Pack, Print Up To 2600 Pages Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 24401674-1855753

Manufacturer Name: BROTHER

INTERNATIONAL CORP.

2 PACK 84.82 $169.64

13 57547 1981033 Hp 934Xl/935 Black High Yield And Cyan/Magenta/Yellow Standard Yield Ink Cartridge, 4/Pack (N9H66Fn140) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 1981033-1855753

Manufacturer Name: HP INC.

10 PACK 79.34 $793.40

14 57547 1182798 Hp 934 Black Standard Yield Ink Cartridge (C2P19An#140) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 1182798-1855753

Manufacturer Name: HP INC.

3 EACH 20.18 $60.54

15 62090 829386 Expo Neon Window Dry Erase Markers, Bullet Tip, Assorted, 5/Pack (1752226) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 829386-1855753

Manufacturer Name: SANFORD

CORP

6 PACK 5.68 $34.08

Order Date: 9/26/2025

Internal Tracking No.: 0000386344

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

16 61575 686437 Alliance Non-Latex Multi-Purpose Rubber Bands, 33, 1 Lb. Box, 720/Box (37336) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 686437-1855753

Manufacturer Name: ALLIANCE

RUBBER

15 BOX 4.29 $64.35

17 61562 599338 Post-It Flags Pack, .94" Wide, Assorted Colors, 200 Flags/Pack Plus Flag + Highlighter (680- Rybgva) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 599338-1855753

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

CORPORATION

3 PACK 4.66 $13.98

18 61562 584878 Post-It Flags Pack, .47" Wide, Assorted Colors, 328 Flags/Pack (683-Vad1) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 584878-1855753

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

CORPORATION

3 PACK 4.52 $13.56

19 61569 566942 Staples 0.6" Binder Clips, Mini, Black, 144/Pack (15338) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 566942-1855753

Manufacturer Name: WORKLIFE

BRANDS

2 PACK 8.53 $17.06

Order Date: 9/26/2025

Internal Tracking No.: 0000386344

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

20 78557 120741 Expo Whiteboard Care Dry Erase Cleaner, Blue (81803) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 120741-1855753

Manufacturer Name: SANFORD

CORP

4 EACH 3.26 $13.04

21 68047 132522 Uni-Ball Rollerball Pens, Micro Point, Black Ink, Dozen (60151) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 9/29/2025

MPN: 132522-1855753

Manufacturer Name: UNI-BALL

CORPORATION

2 DOZ 9.51 $19.02

Total $1,742.32

File details come from the government source that posted it. Updated Sep 29, 2025.