26004454-0.pdf
PDF 15 KB Posted
- Attached to
- Term TX|615-C1|10433908166|26004454
- Contract number
- 26004454
- Issued by
- Texas
About this file
This document is a Purchase Order (PO No. 26004454) issued by the Texas Health and Human Services Commission (HHSC) on 10/1/2025, with Staples Contract & Commercial LLC as the contractor. The purchase order is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Oluwaseyi Omisore acting as the agency purchaser and Sara Araiza as the agency contact.
The purchase order is for one pack of Pentel Energel Rtx Retractable Gel Pens (Medium Point, Purple Ink, 3/Pack) under Contract 615-C1, priced at $3.84, with an additional transportation and freight charge of $5.99, bringing the total order value to $9.83. The order has a delivery date of 10/6/2025 with a 3-day after receipt of order (ARO) delivery timeline. The pens will be manufactured by Pentel of America Ltd, with the specific model number 756260-1855753. The purchase is exempt from federal excise taxes and falls under the Texas Tax Code Section 151.309(4) for state procurement.
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Text version
Purchase Order PO No. 26004454
Order Date: 10/1/2025
Internal Tracking No.: 0000386421
Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702
5425 POLK ST STE 250
PO BOX 16017
HOUSTON TX 77023
Sara Araiza
(713) 767-2462 5425 Polk St Suite 250 Houston TX 77023
NOTE TO CONTRACTOR: CAPPS FIN PO#:0000386421
AGENCY CONTACT:
Sara Araiza 713-767-2462, Sara.araiza@hhs.texas.gov
AP Email: reg_06_regional_budget_prf@hhs.texas.gov
Ship to Attn: Sara Araiza
HHSC BUYER:
Oluwaseyi Omisore, CTCD, CTCM 512-776-4242 Oluwaseyi.Omisore@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
Oluwaseyi Omisore Oluwaseyi.Omisore@hhs.texas.gov (512) 706-4242
Purchase Order PO No. 26004454
Order Date: 10/1/2025
Internal Tracking No.: 0000386421
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 62080 756260 Pentel Energel Rtx Retractable Gel Pens, Medium Point, Purple Ink, 3/Pack (Bl77Bp3V) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/6/2025
MPN: 756260-1855753
Manufacturer Name: PENTEL OF
AMERICA LTD
1 PACK 3.84 $3.84
2 62080 756260 Transportation and Freight Charge Delivery Date: 10/6/2025
1 EACH 5.99 $5.99
Total $9.83
File details come from the government source that posted it. Updated .