26006417-2.pdf

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Term TX|615-C1|10433908166|26006417
Contract number
26006417
Issued by
Texas

About this file

This is a Purchase Order Change Notice (PO No. 26006417) issued by the State of Texas Health & Human Services Commission (HHSC) on 10/14/2025, with Staples Contract & Commercial LLC as the contractor. The document involves the Statewide Procurement Division of the Texas Comptroller of Public Accounts and is associated with Contract 615-C1, a term contract.

The purchase order covers office supplies to be delivered to Victor Williams at the HHSC warehouse in Abilene, TX, with a total value of $4,958.90. The items include Tru Red notepads (50 dozen at $17.16/dozen), Ampad scratch pads (40 dozen at $13.35/dozen), Bic mechanical pencils (100 dozen at $2.96/dozen), Staples cubicle clips (20 boxes at $5.97/box), Staples file folders (50 boxes at $18.93/box), and Staples steno pads (125 dozen at $17.64/dozen). The delivery date was changed from October 15, 2025 to October 17, 2025, with a 3-day after receipt (ARO) delivery timeline. The purchase is tax-exempt under Texas Tax Code, Section 151.309(4), for exclusive use by the State of Texas.

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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

10/20/2025-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 #: 2 PO Change Reasons (Aggregated):10/14/2025 2:21 pm-Shipping address line number 2 has changed from: Warehouse to:

10/20/2025 8:00 am-Change to Line 5: Shipping delivery date has changed from: Wed Oct 15 2025 00:00:00 GMT-0700 (PDT) to: Fri Oct 17 2025 00:00:00 GMT-0700 (PDT)

10/20/2025 8:00 am-Change to Line 4: Shipping delivery date has changed from: Wed Oct 15 2025 00:00:00 GMT-0700 (PDT) to: Fri Oct 17 2025 00:00:00 GMT-0700 (PDT)

10/20/2025 8:01 am-Change to Line 3: Shipping delivery date has changed from: Wed Oct 15 2025 00:00:00 GMT-0700 (PDT) to: Fri Oct 17 2025 00:00:00 GMT-0700 (PDT)

10/20/2025 8:01 am-Change to Line 2: Shipping delivery date has changed from: Wed Oct 15 2025 00:00:00 GMT-0700 (PDT) to: Fri Oct 17 2025 00:00:00 GMT-0700 (PDT)

10/20/2025 8:01 am-Change to Line 1: Shipping delivery date has changed from: Wed Oct 15 2025 00:00:00 GMT-0700 (PDT) to: Fri Oct 17 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

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: Fri Oct 17 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: Fri Oct 17 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: Fri Oct 17 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: Fri Oct 17 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: Fri Oct 17 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: Fri Oct 17 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 .