26004456-0.pdf

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Attached to
Term TX|615-C1|10433908166|26004456
Contract number
26004456
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 26004456) issued by the Texas Health & Human Services Commission on 10/1/2025, with Staples Contract & Commercial LLC as the contractor. The order is for the Brenham and Richmond State Supported Living Centers (SSLC), located in Brenham and Richmond, Texas, respectively. The purchasing agency contact is Jocelynn Evans, and the shipping contact is Diana Dockal.

The purchase order is for 100 sets of Avery Big Tab Insertable Plastic Dividers (8-tab, assorted colors) at a unit price of $1.41 per set, totaling $141.00. The order is made under Contract 615-C1, which is a term contract with a delivery timeframe of 3 days after receipt (ARO), with a specified delivery date of 10/6/2025. The manufacturer is Avery Products Corporation. The State of Texas is exempt from Federal Excise Taxes, and the purchase is claimed under the Texas Tax Code Section 151.309(4) for exclusive state use.

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Text version

Purchase Order PO No. 26004456

Order Date: 10/1/2025

Internal Tracking No.: 0000386221

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

Brenham SSLC 4001 Highway 36 South Brenham TX 77833

DIANA DOCKAL

(281) 344-4277 Richmond SSLC Whse 2100 Preston Richmond TX 77469

NOTE TO CONTRACTOR: Ship Attention to: DIANA DOCKAL

Agency contact:

Name: DIANA DOCKAL Phone: 281-344-4277 Email: DIANA.DOCKAL@HHS.TEXAS.GOV

BLDG/FLOOR/CUBICLE: ADMINISTRATION BLDG, 501/RM 108

Purchaser Information:

Name: Jocelynn Evans Phone #512-776-6233 Email Address: jocelynn.evans@hhs.texas.gov

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

Jocelynn Evans Jocelynn.Evans@hhs.texas.gov (512) 717-2524

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61539 491831 Avery Big Tab Insertable Plastic Dividers, 8-Tab, Assorted Colors, 8/Set (11901) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/6/2025

MPN: 491831-1855753

Manufacturer Name: AVERY

PRODUCTS CORPORATION

100 SET 1.41 $141.00

Purchase Order PO No. 26004456

Order Date: 10/1/2025

Internal Tracking No.: 0000386221

Total $141.00

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