26006316-1.pdf

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Term TX|615-C1|18621616889|26006316
Contract number
26006316
Issued by
Texas

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This document is a Purchase Order Change Notice (PO No. 26006316) issued by the Texas Department of State Health Services (DSHS) on 10/14/2025, with an internal tracking number of 0000387651. The purchase order involves ODP Business Solutions, LLC, located in Boca Raton, Florida, as the contractor, and is being processed through the Texas Comptroller of Public Accounts – Statewide Procurement Division.

The purchase order covers three line items: 1) one roll of Velcro Brand Sticky Back Fastener Tape (Loop Only, 3/4" x 75ft, Black) at $33.10, 2) five packs of Velcro Brand Sticky Back Fasteners (5/8" Coin, White) at $13.30, and 3) one carton of Energizer Industrial Alkaline AAA Batteries (24-count) at $92.76, for a total order value of $139.16. The items are being purchased under Contract 615-C1, with a term contract type and a 2-day after receipt of order (ARO) delivery schedule. The delivery is set for 10/16/2025 to the DSHS location at 6302 Iola Avenue in Lubbock, Texas, with specific instructions to deliver to the back of the building and include the PO number on the packing list.

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Purchase Order Change Notice PO No. 26006316

Order Date: 10/14/2025

Internal Tracking No.: 0000387651

Contractor Info Bill To Ship To ODP Business Solutions, LLC 18621616889 6600 N. Military Trail Boca Raton, FL 33496

(832) 477-6118

PO BOX 149347

Fiscal Division/Accounts Payable

AUSTIN TX 78714-9347

ATTN Rodriguez,Yolanda6302 Iola, LUBBOCK, TX 79424undefined

NOTE TO CONTRACTOR:

***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000387651 AND ATTN CONTACT INFO ***

SHIP TO ATTN Rodriguez,Yolanda 806-783-6433 yolanda.rodriguez@dshs.texas.gov

Ship to: 6302 Iola Avenue Lubbock, TX 79424 Deliver to HHSC back of building.

***SEND INVOICE TO invoices@dshs.texas.gov

10/14/2025-***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000387651 AND ATTN CONTACT INFO ***

SHIP TO ATTN Rodriguez,Yolanda 806-783-6433 yolanda.rodriguez@dshs.texas.gov

Ship to: 6302 Iola Avenue Lubbock, TX 79424 Deliver to HHSC back of building.

***SEND INVOICE TO invoices@dshs.texas.gov

10/20/2025-***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000387651 AND ATTN CONTACT INFO ***

SHIP TO ATTN Rodriguez,Yolanda 806-783-6433 yolanda.rodriguez@dshs.texas.gov

Ship to: 6302 Iola Avenue Lubbock, TX 79424 Deliver to HHSC back of building.

***SEND INVOICE TO invoices@dshs.texas.gov

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):10/20/2025 7:54 am-Change to Line 2: Shipping delivery date has changed from: Wed Oct 15 2025 00:00:00 GMT-0700 (PDT) to: Thu Oct 16 2025 00:00:00 GMT-0700 (PDT)

10/20/2025 7:54 am-Change to Line 1: Shipping delivery date has changed from: Wed Oct 15 2025 00:00:00 GMT-0700 (PDT) to:

Thu Oct 16 2025 00:00:00 GMT-0700 (PDT)

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/CO-OP Member Purchaser Email Phone

Dept Of State Health Services -

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564

Order Date: 10/14/2025

Internal Tracking No.: 0000387651

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

1 61589 835689 Velcro Brand Sticky Back Fastener Tape Roll, Loop Only, 3/4Inw X 75Ft, Black Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: Thu Oct 16 2025

00:00:00 GMT-0700 (PDT)

Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rodriguez,Yolanda 8 0 6 - 7 8 3 - 6 4 3 3 yolanda.rodriguez@dshs.texas.gov Contact Lori Dye 806-783-6474 Lori.dye@dshs.texas.gov Ship to: 6302 Iola Avenue Lubbock, TX 79424 Deliver to HHSC back of building.

MPN: 190911

Manufacturer Name: SP RICHARDS

1 ROLL 33.10 $33.10

2 61589 570109 Velcro Brand St icky Back Fasteners, 5/8In, Coin, White, Pack Of 15 Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: Thu Oct 16 2025

00:00:00 GMT-0700 (PDT)

Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rodriguez,Yolanda 8 0 6 - 7 8 3 - 6 4 3 3 yolanda.rodriguez@dshs.texas.gov Contact Lori Dye 806-783-6474 Lori.dye@dshs.texas.gov Ship to: 6302 Iola Avenue Lubbock, TX 79424 Deliver to HHSC back of building.

MPN: 90070

Manufacturer Name: VELCRO USA

INC

5 PACK 2.66 $13.30

Order Date: 10/14/2025

Internal Tracking No.: 0000387651

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

3 45006 737549 Energizer Industrial Alkaline Aaa Battery Boxes Of 24 - For Multipurpose - Aaa - 1.5 V Dc - 6 / Carton Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: Thu Oct 16 2025

00:00:00 GMT-0700 (PDT)

Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rodriguez,Yolanda 8 0 6 - 7 8 3 - 6 4 3 3 yolanda.rodriguez@dshs.texas.gov Contact Lori Dye 806-783-6474 Lori.dye@dshs.texas.gov Ship to: 6302 Iola Avenue Lubbock, TX 79424 Deliver to HHSC back of building.

MPN: EN92CT

Manufacturer Name: ENERGIZER

BRANDS LLC

1 CRTN 92.76 $92.76

Total $139.16

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