26004654-0.pdf
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- Attached to
- Term TX|615-C1|10433908166|26004654
- Contract number
- 26004654
- Issued by
- Texas
About this file
This document is a Purchase Order (PO No. 26004654) issued by the Texas Health and Human Services Commission (HHSC) on 10/2/2025, with an internal tracking number of HHSTX-6-0000386615. The order is placed with Staples Contract & Commercial LLC, located in Framingham, MA, under Contract 615-C1. The delivery and billing addresses are both in Texas, specifically in Mexia and Waco.
The purchase order includes five line items of office supplies totaling $650.92, to be delivered by 10/6/2025 with a 3-day after receipt (ARO) delivery timeline. Items include 120 sets of Avery Index Maker Print Apply Label Dividers, 3 boxes of Staples Pressboard Classification Folders, 1 Avery Carter's Stamp Pad, 2 packs of Scotch Permanent Double Sided Tape, and 1 box of Read Right Surfacekleen Premoistened Cleaning Wipes. The order is tax-exempt under Texas Tax Code Section 151.309(4) and is part of a term contract. The state has a disclaimer that it is exempt from Federal Excise Taxes except as noted in specific contracts.
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Text version
Purchase Order PO No. 26004654
Order Date: 10/2/2025
Internal Tracking No.: HHSTX-6-0000386615
Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702
424 Mesquite Dr Mexia SSLC Mexia TX 76667
3501 N19th st Waco TX 76708
NOTE TO CONTRACTOR: PO#:HHSTX-6-0000386615
AGENCY CONTACT:
Amanda Rodriguez amanda.rodriguez@hhs.texas.gov +1 (254) 296-5923
HHSC BUYER:
Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov
DELIVERY:
3501 N 19th St Waco TX 76708
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
Order Date: 10/2/2025
Internal Tracking No.: HHSTX-6-0000386615
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 61539 512428 Avery Index Maker Print Apply Label Dividers, 8-Tab, Clear (75501) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/6/2025
MPN: 512428-1855753
Manufacturer Name: AVERY
PRODUCTS CORPORATION
120 SET 4.03 $483.60
2 61545 614430 S t a p l e s 1 7 4 ; P r e s s b o a rd Classification Folder, 1-Dividers, 1 3/4" Expansion, Letter Size, Light Green, 20/Box (St/) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/6/2025
MPN: 614430-1855753
Manufacturer Name: WORKLIFE
BRANDS
3 BOX 48.09 $144.27
3 61577 122085 Avery Carter's Stamp Pad, Black Ink (21081) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/6/2025
MPN: 122085-1855753
Manufacturer Name: AVERY
PRODUCTS CORPORATION
1 EACH 2.11 $2.11
4 61588 649280 Scotch Permanent Double Sided Tape W/Refillable Dispenser, 1/2" X 7 Yds., 1" Core, 3-Pack (3136) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/6/2025
MPN: 649280-1855753
M a n u fa c t u r e r N a m e : 3 M
CORPORATION
2 PACK 3.71 $7.42
Order Date: 10/2/2025
Internal Tracking No.: HHSTX-6-0000386615
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
5 28718 24453985 Read Right Sur facekleen Premoistened Cleaning Wipes, 5" X 5", Unscented, 72/Box (Rr15109) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/6/2025
MPN: 24453985-1855753
Manufacturer Name: ADVANTUS
CORP ADVANTUS COP NAD
1 BOX 13.52 $13.52
Total $650.92
File details come from the government source that posted it. Updated .