26005689-0.pdf
PDF 17 KB Posted
- Attached to
- Term TX|615-C1|10433908166|26005689
- Contract number
- 26005689
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26005689) issued by the Texas Department of State Health Services on 10/9/2025, with Staples Contract & Commercial LLC as the contractor. The purchase order is processed through the Texas Comptroller of Public Accounts - Statewide Procurement Division, with Debra Burns listed as the agency purchaser. The order will be shipped to Amethyst Sade Jones at the Department of State Health Services, located in a building on W North Loop in Austin, Texas.
The purchase order covers office supplies under Contract 615-C1, including 14 Kensington Ergonomic Wrist Pillow Gel Mouse Pads/Wrist Rests at $11.00 each (totaling $154.00), and various Expo dry erase markers in different configurations: one 16-pack of chisel tip markers at $14.73, another 16-pack of chisel tip markers at $14.73, and three 12-packs of fine tip markers at $9.77 each (totaling $29.31). The total order value is $212.77, with a three-day delivery timeframe set for 10/13/2025. The order specifies that a packing list is required showing the PO number and contact information, and order confirmation is needed from the vendor.
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Text version
Purchase Order PO No. 26005689
Order Date: 10/9/2025
Internal Tracking No.: 0000387362
Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702
PO BOX 149347
Fiscal Division/Accounts Payable
AUSTIN TX 78714-9347
ATTN Jones, Amethyst Sade
(512) 776-7321 1111 W North Loop Austin TX 78756 uilding and Room number RDM, Floor 3, Office M367
NOTE TO CONTRACTOR: **PACKING LIST REQUIRED TO SHOW PO NUMBER 0000387362 AND ATTN CONTACT INFO ***
***ORDER CONFIRMATION REQUIRED FROM VENDOR***
SHIP TO ATTN SHIP TO ATTN Jones, Amethyst Sade 512-776-7321 amethyst.jones@dshs.texas.gov Building and Room number RDM, Floor 3, Office M367 **send invoice to Email: amethyst.jones@dshs.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
Dept Of State Health Services -
Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564
Order Date: 10/9/2025
Internal Tracking No.: 0000387362
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 64561 813826 Kensington Ergonomic Wrist Pillow Gel Mouse Pad/Wrist Rest, Non- Skid Base, Black (L57822Us) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/13/2025 Notes: **PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
***ORDER CONFIRMATION
REQUIRED FROM VENDOR***
SHIP TO ATTN SHIP TO ATTN Jones, Amethyst Sade 512-776-7321 amethyst.jones@dshs.texas.gov Building and Room number RDM, Floor 3, Office M367
MPN: 813826-1855753
Manufacturer Name: GENERAL
BINDING CORP ACCO
14 EACH 11.00 $154.00
2 78530 2638679 Expo Tank Dry Erase Markers, Chisel Tip, Assorted Colors, 16/Pack (1927526San) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/13/2025 Notes: **PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
***ORDER CONFIRMATION
REQUIRED FROM VENDOR***
SHIP TO ATTN SHIP TO ATTN Jones, Amethyst Sade 512-776-7321 amethyst.jones@dshs.texas.gov Building and Room number RDM, Floor 3, Office M367
MPN: 1927526SAN
Manufacturer Name: SANFORD
CORP
1 PACK 14.73 $14.73
Order Date: 10/9/2025
Internal Tracking No.: 0000387362
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
3 62090 592678 Expo Dry Erase Markers, Chisel Tip, Assorted Colors, 16/Pack (81045) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/13/2025 Notes: **PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
***ORDER CONFIRMATION
REQUIRED FROM VENDOR***
SHIP TO ATTN SHIP TO ATTN Jones, Amethyst Sade 512-776-7321 amethyst.jones@dshs.texas.gov Building and Room number RDM, Floor 3, Office M367
MPN: 81045
Manufacturer Name: SANFORD
CORP
1 PACK 14.73 $14.73
4 62090 637904 Expo Dry Erase Marker, Fine Tip, Assorted Colors, 12/Pack (86603) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/13/2025 Notes: **PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
***ORDER CONFIRMATION
REQUIRED FROM VENDOR***
SHIP TO ATTN SHIP TO ATTN Jones, Amethyst Sade 512-776-7321 amethyst.jones@dshs.texas.gov Building and Room number RDM, Floor 3, Office M367
MPN: 86603
Manufacturer Name: SANFORD
CORP
3 SET 9.77 $29.31
Total $212.77
File details come from the government source that posted it. Updated .