26006417-1.pdf
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- Attached to
- Term TX|615-C1|10433908166|26006417
- Contract number
- 26006417
- Issued by
- Texas
About this file
This document is a Purchase Order Change Notice (PO No. 26006417) issued by the State of Texas Health and Human Services Commission (HHSC) on 10/14/2025, with Staples Contract & Commercial LLC as the contractor. The purchase order involves the Statewide Procurement Division of the Texas Comptroller of Public Accounts and is specifically for HHSC's Agency/CO-OP Member (Commission - 529), with Oluwaseyi Omisore as the purchaser.
The purchase order covers office supplies under Contract 615-C1, a term contract, with a total order value of $4,958.90. The items include 50 dozen Tru Red notepads ($858.00), 40 dozen Ampad scratch pads ($534.00), 100 dozen Bic mechanical pencils ($296.00), 20 boxes of Staples cubicle clips ($119.40), 50 boxes of Staples file folders ($946.50), and 125 dozen Staples steno pads ($2,205.00). All items are to be delivered within 3 days to Victor Williams at the HHSC warehouse located at 4601 S 1st St in Abilene, TX 79605. The State of Texas claims tax exemption under Texas Tax Code, Section 151.309(4), and the purchase is for the exclusive use of the state.
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Text version
Purchase Order Change Notice PO No. 26006417
Order Date: 10/14/2025
Internal Tracking No.: 0000387716
Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702
4601 S 1st St Abilene TX 79605
Items to be shipped to multiple addresses. See shipping details below for each line item.
Order Date: 10/14/2025
Internal Tracking No.: 0000387716
NOTE TO CONTRACTOR:
PO#:0000387716
AGENCY CONTACT:
Raymond Evans
PHONE: 325-795-3344
Raymond.Evans@hhs.texas.gov
AP Email: REG02_ADMIN_SERVICES@HHS.TEXAS.GOV
Ship to Attn:
Victor Williams
325-795-5615 victor.williams@hhs.texas.gov
HHSC BUYER:
Oluwaseyi Omisore, CTCD, CTCM
512-776-4242 Oluwaseyi.Omisore@hhs.texas.gov
Invoice per 34 TAC §20.487, amended effective May 1, 2022
10/14/2025-PO#:0000387716
AGENCY CONTACT:
Raymond Evans
PHONE: 325-795-3344
Raymond.Evans@hhs.texas.gov
AP Email: REG02_ADMIN_SERVICES@HHS.TEXAS.GOV
Ship to Attn:
Victor Williams
325-795-5615 victor.williams@hhs.texas.gov
HHSC BUYER:
Oluwaseyi Omisore, CTCD, CTCM
512-776-4242 Oluwaseyi.Omisore@hhs.texas.gov
Invoice per 34 TAC §20.487, amended effective May 1, 2022
10/14/2025-PO#:0000387716
AGENCY CONTACT:
Raymond Evans
PHONE: 325-795-3344
Raymond.Evans@hhs.texas.gov
AP Email: REG02_ADMIN_SERVICES@HHS.TEXAS.GOV
Ship to Attn:
Victor Williams
325-795-5615 victor.williams@hhs.texas.gov
HHSC BUYER:
Oluwaseyi Omisore, CTCD, CTCM
512-776-4242 Oluwaseyi.Omisore@hhs.texas.gov
Invoice per 34 TAC §20.487, amended effective May 1, 2022
Order Date: 10/14/2025
Internal Tracking No.: 0000387716
REVISION HISTORY:
PO Revision #: 1 PO Change Reasons (Aggregated):10/14/2025 2:21 pm-Shipping address line number 2 has changed from: Warehouse to:
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
Health & Human Services Commission - 529
Oluwaseyi Omisore Oluwaseyi.Omisore@hhs.texas.gov (512) 706-4242
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
1 78573 815592 Tru Red8482; Notepads, 8.5" X 11.75", Wide Ruled, Canary, 50 Sheets/Pad, Dozen Pads/Pack (Tr58184) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Wed Oct 15 2025
00:00:00 GMT-0700 (PDT)
Ship to Address:
V ic to r Wi l l i ams4601 S 1s t S tWarehouse, Ab i lene, TX 79605undefined
MPN: 815592-1855753
Manufacturer Name: WORKLIFE
BRANDS
50 DOZ 17.16 $858.00
mailto:Oluwaseyi.Omisore@hhs.texas.gov
Order Date: 10/14/2025
Internal Tracking No.: 0000387716
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
2 61560 478816 Ampad Scratch Pad, Size 4 X 6, White Paper , No Ruling, 100 Sheets/Pad, 12/Dz (21-431) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Wed Oct 15 2025
00:00:00 GMT-0700 (PDT)
Ship to Address:
V ic to r Wi l l i ams4601 S 1s t S tWarehouse, Ab i lene, TX 79605undefined
MPN: 478816-1855753
Manufac turer Name: TOPS
BUSINESS FORMS
40 DOZ 13.35 $534.00
3 62060 104927 Bic Xtra Life Mechanical Pencil, 0.7Mm, 2 Medium Lead, Dozen (90085/Mp11) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Wed Oct 15 2025
00:00:00 GMT-0700 (PDT)
Ship to Address:
V ic to r Wi l l i ams4601 S 1s t S tWarehouse, Ab i lene, TX 79605undefined
MPN: 104927-1855753
M a nu fa c t u r e r N a m e : B I C
CORPORATION
100 DOZ 2.96 $296.00
4 68096 510399 Staples Cubicle Clips, White, 20/Box (33455) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Wed Oct 15 2025
00:00:00 GMT-0700 (PDT)
Ship to Address:
V ic to r Wi l l i ams4601 S 1s t S tWarehouse, Ab i lene, TX 79605undefined
MPN: 510399-1855753
Manufacturer Name: WORKLIFE
BRANDS
20 BOX 5.97 $119.40
Order Date: 10/14/2025
Internal Tracking No.: 0000387716
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
5 61545 875429 Staples File Folder, 1/3 Cut, Letter Size, Assorted Colors, 100/Box (Tr) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Wed Oct 15 2025
00:00:00 GMT-0700 (PDT)
Ship to Address:
V ic to r Wi l l i ams4601 S 1s t S tWarehouse, Ab i lene, TX 79605undefined
MPN: 875429-1855753
Manufacturer Name: WORKLIFE
BRANDS
50 BOX 18.93 $946.50
6 78573 497017 Staples Steno Pads, 6" X 9", Gregg Ruled, White, 80 Sheets/Pad, Dozen Pads/Pack (St57354) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Wed Oct 15 2025
00:00:00 GMT-0700 (PDT)
Ship to Address:
V ic to r Wi l l i ams4601 S 1s t S tWarehouse, Ab i lene, TX 79605undefined
MPN: 497017-1855753
Manufacturer Name: WORKLIFE
BRANDS
125 DOZ 17.64 $2,205.00
Total $4,958.90
File details come from the government source that posted it. Updated .