26003874-0.pdf

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Attached to
Term TX|615-C1|10433908166|26003874
Contract number
26003874
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26003874) issued by the Texas Health and Human Services Commission (HHSC) on 9/29/2025, with Staples Contract & Commercial LLC as the contractor. The document originates from the State of Texas, specifically involving the HHSC Agency (Agency Code 529), with the purchase facilitated through the Texas Comptroller of Public Accounts' Statewide Procurement Division. The contractor is located in Framingham, Massachusetts, and the billing and shipping addresses are in Austin and Arlington, Texas, respectively.

The purchase order is for 10 packs of Southworth Certificate Holders, sized 8.5" X 11" in black, manufactured by Neenah Paper Inc. The total order value is $80.00, with each pack priced at $8.00. The order is made under Contract 615-C1, which is a term contract with a delivery timeframe of 3 days after receipt (ARO), specifically scheduled for delivery on 10/2/2025. The purchase is tax-exempt under Texas Tax Code, Section 151.309(4), as the items are being secured for the exclusive use of the State of Texas. The agency purchaser is Ron Connell, and the order includes specific contact information for agency and accounts payable purposes.

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Text version

Purchase Order PO No. 26003874

Order Date: 9/29/2025

Internal Tracking No.: HHSTX-6-0000386389

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

Yuliana Ramirez

(972) 337-6100 2220 Forum Dr Arlington TX 76010

NOTE TO CONTRACTOR: Agency: 529-HHSC

Agency Contact: Yuliana Ramirez, Yuliana.Ramirez@hhs.texas.gov, 972-337-6100

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 08078 898073 Southworth Certificate Holders, 8.5" X 11", Black, 10/Pack (Pf18) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/2/2025

MPN: 898073-1855753

Manufacturer Name: NEENAH PAPER

INC

10 PACK 8.00 $80.00

Total $80.00

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