26005171-0.pdf
PDF 15 KB Posted
- Attached to
- Term TX|615-C1|10433908166|26005171
- Contract number
- 26005171
- Issued by
- Texas
About this file
This document is a Purchase Order (PO No. 26005171) issued by the Texas Department of State Health Services on 10/6/2025, with Staples Contract & Commercial LLC serving as the contractor. The purchase order involves the state agency located in Austin, Texas, and will be shipped to Amethyst Jones at 1111 W North Loop, Austin TX 78756. The procurement is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Lindsey De La Rosa acting as the HHSC Buyer.
The purchase order covers two line items under Contract 615-C1: 12 Staples 14.75 X 11.25 Steel Adjustable Laptop Stands in black, priced at $27.66 each (total $331.92), and 7 Staples Gel Non-Skid Wrist Rests in black, priced at $7.85 each (total $54.95). Both items are manufactured by WORKLIFE BRANDS and have a 3-day delivery after receipt (ARO) with a specified delivery date of 10/9/2025. The total purchase order amount is $386.87, and the state of Texas claims tax exemption under Texas Tax Code, Section 151.309(4), as the purchase is for exclusive state use.
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Text version
Purchase Order PO No. 26005171
Order Date: 10/6/2025
Internal Tracking No.: 0000387100
Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702
1100 West 49th Street
MC: 3063
Austin TX 78756
Amethyst Jones 1111 W North Loop Austin TX 78756
NOTE TO CONTRACTOR: PO#: 0000387100
AGENCY CONTACT/SHIP ATTN:
Amethyst Jones Amethyst.Jones@dshs.texas.gov
HHSC BUYER:
Lindsey De La Rosa, CTCD, CTCM lindsey.delarosa@hhs.texas.gov
AP Email: invoices@dshs.texas.gov
Invoice per 34 TAC §20.487, amended effective 5-1-22
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
Dept Of State Health Services -
Lindsey- De-La-Rosa- lindsey.delarosa@hhs.texas.gov (512) 294-3627
Purchase Order PO No. 26005171
Order Date: 10/6/2025
Internal Tracking No.: 0000387100
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 78543 2658098 Staples 14.75 X 11.25 Steel Adjustable Laptop Stands, Black (51232) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/9/2025
MPN: 2658098-1855753
Manufacturer Name: WORKLIFE
BRANDS
12 EACH 27.66 $331.92
2 64561 24339940 Staples Gel Non-Skid Wrist Rest, Black (St61823) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/9/2025
MPN: 24339940-1855753
Manufacturer Name: WORKLIFE
BRANDS
7 EACH 7.85 $54.95
Total $386.87
File details come from the government source that posted it. Updated .