26004586-0.pdf

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Attached to
Term TX|615-C1|10433908166|26004586
Contract number
26004586
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26004586) issued by the Texas Health and Human Services Commission (HHSC) on 10/1/2025, with an internal tracking number of HHSTX-6-0000386769. The contractor is Staples Contract & Commercial LLC from Framingham, MA, and the purchasing agency is specifically the Abilene State Supported Living Center (SSLC) located in Abilene, Texas. The purchase order is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Carlos M. Mojica listed as the agency purchaser.

The purchase order covers two office supply items under Contract 615-C1: 20 packs of Staples Economy #19 Rubber Bands (1500/Pack) at $6.16 per pack, totaling $123.20, and 50 packs of Scotch Heavy Duty Packing Tape with Dispenser at $12.62 per pack, totaling $631.00. The total purchase order amount is $754.20. Delivery is set for 10/6/2025 with a 3-day after receipt (ARO) delivery timeline. The order is tax-exempt under Texas Tax Code, Section 151.309(4), and is secured for the exclusive use of the State of Texas, with the goods to be delivered to the Abilene SSLC Warehouse at 2501 Maple St, Abilene, TX 79602.

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Text version

Purchase Order PO No. 26004586

Order Date: 10/1/2025

Internal Tracking No.: HHSTX-6-0000386769

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

Abilene SSLC PO Box 451 Abilene TX 79604

Abilene SSLC Whse 2501 Maple St

ABILENE TX 79602

NOTE TO CONTRACTOR: PO#: HHSTX-6-0000386769

AGENCY CONTACT:

Whse Supvr Daniel Gillis Ph - 325-795-3903 daniel.gillis@hhs.texas.gov Reg Mgr Larry Lira

HHSC BUYER:

Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov

DELIVERY:

Abilene SSLC Whse 2501 Maple St Abilene, Tx 79602

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

Carlos-M Mojica carlos.mojica01@hhs.texas.gov (512) 705-1880

Purchase Order PO No. 26004586

Order Date: 10/1/2025

Internal Tracking No.: HHSTX-6-0000386769

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61575 808592 Staples Economy #19 Rubber Bands, 1500/Pack (28620-Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/6/2025

MPN: ST28620/28620

Manufacturer Name: STAPLES

BRANDS GROUP

20 PACK 6.16 $123.20

2 64043 495492 Scotch Heavy Duty Packing Tape With Dispenser, 1.88" X 22.2 Yds., Clear, 6/Pack (142-6) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/6/2025

MPN: 495492-1855753

M a n u fa c t u r e r N a m e : 3 M

CORPORATION

50 PACK 12.62 $631.00

Total $754.20

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