26004543-0.pdf

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Attached to
Term TX|615-C1|10433908166|26004543
Contract number
26004543
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26004543) 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 the agency purchaser being Madison Wilson. The document involves a state government procurement action for office supplies, with the shipping destination in Arlington, Texas.

The purchase order covers three line items of office supplies under Contract 615-C1, including 150 boxes of Staples Cubicle Clips (unit price $5.97), 390 dozens of Pentel R.S.V.P. Ballpoint Pens (unit price $5.12), and 75 boxes of Staples File Folders (unit price $18.93). The total order value is $4,312.05, with a specified delivery timeframe of 3 days after receipt of the purchase order, targeting a delivery date of 10/6/2025. The order is tax-exempt under Texas Tax Code Section 151.309(4) and includes specific delivery instructions, such as no deliveries between 12-1 PM and a requirement to call 24 hours prior to delivery.

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Text version

Purchase Order PO No. 26004543

Order Date: 10/1/2025

Internal Tracking No.: 0000386743

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

801 S State Hwy 161 PO Box 532089 Grand Prairie TX 75051

Janet McCaulie

(469) 755-3405 2220 Forum Drive Arlington TX 76010

***NO DELIVERIES BETWEEN 12 - 1 PM

CALL 24 HRS PRIOR TO DELIVERY

972-337-6109 OR 214-284-3893

NOTE TO CONTRACTOR: FREIGHT: F.O.B. Destination Freight Prepaid & Allowed DELIVERY: 3 Days After Receipt of PO Delivery hours are from 8:00-11:30 AM and 1:00-4:30 PM Monday - Friday except designated State Holidays

AGENCY CONTACT:

EMAIL INVOICES TO REG03_AP@HHSC.STATE.TX.US

Janet McCaulie 214-207-4886 Janet.McCaulie@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

Madison Wilson madison.wilson.529@hhs.texas.gov (512) 111-1111

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 68096 510399 Staples Cubicle Clips, White, 20/Box (33455) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/6/2025

MPN: 510399-1855753

Manufacturer Name: WORKLIFE

BRANDS

150 BOX 5.97 $895.50

Purchase Order PO No. 26004543

Order Date: 10/1/2025

Internal Tracking No.: 0000386743

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 62080 370850 Pentel R.S.V.P. Ballpoint Pens, Medium Point, Black Ink, 12/Pack (Bk91-A) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/6/2025

MPN: 370850-1855753

Manufacturer Name: PENTEL OF

AMERICA LTD

390 DOZ 5.12 $1,996.80

3 61545 875429 Staples File Folder, 1/3 Cut, Letter Size, Assorted Colors, 100/Box (Tr) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/6/2025

MPN: 875429-1855753

Manufacturer Name: WORKLIFE

BRANDS

75 BOX 18.93 $1,419.75

Total $4,312.05

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