26006969-0.pdf

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Attached to
Term TX|615-C1|10433908166|26006969
Contract number
26006969
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26006969) issued by the Texas Health & Human Services Commission (HHSC) on 10/16/2025, with Staples Contract & Commercial LLC as the contractor. The purchase order is processed through the Texas Comptroller of Public Accounts - Statewide Procurement Division, with Lindsey De-La-Rosa as the agency purchaser. The document includes tax exemption information and is structured under Contract 615-C1, which appears to be a term contract.

The purchase order covers various office supplies to be delivered on 10/17/2025 with a 3-day after receipt (ARO) delivery timeline. Items include 100 Staples 12" Plastic Rulers ($68.00), 40 dozen Bic Brite Liner Stick Highlighters ($196.40), 75 boxes of Oxford Twin Portfolio Folders in Teal and Burgundy ($999.75 each), 100 Staples Paper 2-Pocket Folders in Red ($799.00), 100 Staples 0.75" Binder Clips ($260.00), 20 boxes of Staples Cubicle Clips ($119.40), and 250 Paper Mate Liquid Paper Correction Pens ($372.50). The total purchase amount is $3,814.80, with all items sourced from manufacturers like WorkLife Brands, Bic Corporation, Tops Products LLC, and Sanford Corp.

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Text version

Purchase Order PO No. 26006969

Order Date: 10/16/2025

Internal Tracking No.: 0000387970

Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702

6302 Iola Ave Lubbock TX 79424

Alejandro Mendoza6302 Iola Ave, Lubbock, TX 79424undefined

NOTE TO CONTRACTOR: PO#: 0000387970

AGENCY CONTACT:

Larry Deleon larry.deleon03@hhs.texas.gov

SHIP ATTN:

Alejandro Mendoza Alejandro.Mendoza@hhs.texas.gov Phone (806)783-6612

HHSC BUYER:

Lindsey De La Rosa lindsey.delarosa@hhs.texas.gov

AP Email: Reg01_Admin_Services@hhsc.state.tx

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

Health & Human Services Commission - 529

Lindsey De-La-Rosa lindsey.delarosa@hhs.texas.gov (512) 294-3627

Order Date: 10/16/2025

Internal Tracking No.: 0000387970

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61579 2772892 Staples 12" Plastic Standard Imperial/Metric Scales Ruler, With Grip, Assorted Colors (51885) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/17/2025

MPN: 2772892-1855753

Manufacturer Name: WORKLIFE

BRANDS

100 EACH 0.68 $68.00

2 62090 501346 Bic Brite Liner Stick Highlighter, Chisel Tip, Orange, Dozen (90338/Bl11Or) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/17/2025

MPN: 501346-1855753

M a nu fa c t u r e r N a m e : B I C

CORPORATION

40 DOZ 4.91 $196.40

3 61543 508771 Oxford Twin Portfolio Folders, Teal, 25/Box (Oxf 57555) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/17/2025

MPN: 508771-1855753

Manufac turer Name: TOPS

PRODUCTS LLC

75 BOX 13.33 $999.75

4 61543 895490 Oxford Twin Portfolio Folders, Burgundy, 25/Box (Oxf 57557) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/17/2025

MPN: 895490-1855753

Manufac turer Name: TOPS

PRODUCTS LLC

75 BOX 13.33 $999.75

5 61543 907800 Staples Paper 2-Pocket Folders With Fasteners, Red, 10/Pack (13390-Us) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/17/2025

MPN: 907800-1855753

Manufac turer Name: TOPS

PRODUCTS LLC

100 PACK 7.99 $799.00

Order Date: 10/16/2025

Internal Tracking No.: 0000387970

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

6 61569 831594 Staples 0.75" Binder Clips, Small, Black, 40/Pack (10667-Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/17/2025

MPN: 831594-1855753

Manufacturer Name: WORKLIFE

BRANDS

100 PACK 2.60 $260.00

7 68096 510399 Staples Cubicle Clips, White, 20/Box (33455) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/17/2025

MPN: 510399-1855753

Manufacturer Name: WORKLIFE

BRANDS

20 BOX 5.97 $119.40

8 61529 377022 Paper Mate Liquid Paper Correction Pen, 7 Ml., White (5620115) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/17/2025

MPN: 377022-1855753

Manufacturer Name: SANFORD

CORP

250 EACH 1.49 $372.50

Total $3,814.80

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