26004045-0.pdf

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Attached to
TXMAS TX|TXMAS-24-03101|15224188522|26004045
Contract number
26004045
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26004045) issued by the Texas Health & Human Services Commission (HHSC) on 9/29/2025, with internal tracking number 386464. The document involves HD Supply Facilities Maintenance, Ltd. (based in Atlanta, GA) as the contractor, with the order being processed for delivery to Susana Olmos at an address in Austin, Texas. The purchase is being made through a Texas Multiple Award Schedule (TXMAS) contract (TXMAS-24-03101).

The purchase order is for one case of Lysol 19 Oz Disinfectant Spray (Crisp Linen), with a unit price of $98.73. The order is set for delivery within 30 days after release of order (ARO), with a specific delivery date of 10/29/2025. The product is manufactured by Lysol, with a manufacturer part number (MPN) of REC 74828. The State of Texas is exempt from federal excise taxes, and the purchase is made under a sales tax exemption certificate for exclusive state use, as outlined in the Texas Tax Code, Section 151.309(4).

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Text version

Purchase Order PO No. 26004045

Order Date: 9/29/2025

Internal Tracking No.: 386464

Contractor Info Bill To Ship To HD Supply Facilities Maintenance, Ltd.

15224188522 3400 Cumberland Blvd SE Atlanta, GA 30339

(928) 595-1711

4601 W Guadalupe St.

Austin TX 78751

Susana Olmos

(512) 424-6666

1111 W NORTH LOOP

Austin TX 78756

NOTE TO CONTRACTOR: NOTE TO CONTRACTOR: PO#: 386464

AGENCY CONTACT:

Susana Olmos (512) 424-6666 susana.olmos@hhs.texas.gov AP Email: HHSC_AP@hhsc.state.tx.us

HHSC BUYER:

Becky Burgess (512) 406-2619 becky.burgess@hhs.texas.gov 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

Becky Burgess Becky.Burgess@hhs.texas.gov (512) 406-2619

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 01014 655792 Lysol 19 Oz Disinfectant Spray (Crisp Linen) (12-Case) Contract: TXMAS-24-03101 Contract Type: TXMAS Delivery ARO (days): 30 Delivery Date: 10/29/2025

MPN: REC 74828

Manufacturer Name: Lysol

1 CASE 98.73 $98.73

Total $98.73

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