26006969-1.pdf

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

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This Purchase Order Change Notice (PO No. 26006969) involves the Texas Health and Human Services Commission (HHSC) and Staples Contract & Commercial LLC, with the order processed through the Texas Comptroller of Public Accounts - Statewide Procurement Division. The document is dated 10/16/2025 and includes an internal tracking number of 0000387970, with key personnel including Lindsey De La Rosa (HHSC Buyer), Larry Deleon (Agency Contact), and Alejandro Mendoza (Ship Attention).

The purchase order covers various office supplies under Contract 615-C1, including Staples 12" Plastic Rulers (100 each at $0.68), Bic Brite Liner Stick Highlighters (40 dozen at $4.91), Oxford Twin Portfolio Folders in Teal and Burgundy (75 boxes at $13.33 each), Staples Paper 2-Pocket Folders (100 packs at $7.99), Staples Binder Clips (100 packs at $2.60), Staples Cubicle Clips (20 boxes at $5.97), and Paper Mate Liquid Paper Correction Pens (250 each at $1.49). The total order amount is $3,814.80, with a delivery date of 10/19/2025 and a 3-day after receipt (ARO) delivery timeline. The order is tax-exempt and falls under a term contract with Staples.

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Purchase Order Change Notice 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

10/16/2025-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

Order Date: 10/16/2025

Internal Tracking No.: 0000387970

10/20/2025-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

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):10/20/2025 10:28 am-Change to Line 7: Shipping delivery date has changed from: Fri Oct 17 2025 00:00:00 GMT-0700 (PDT) to: Sun Oct 19 2025 00:00:00 GMT-0700 (PDT)

10/20/2025 10:28 am-Change to Line 6: Shipping delivery date has changed from: Fri Oct 17 2025 00:00:00 GMT-0700 (PDT) to:

Sun Oct 19 2025 00:00:00 GMT-0700 (PDT)

10/20/2025 10:28 am-Change to Line 5: Shipping delivery date has changed from: Fri Oct 17 2025 00:00:00 GMT-0700 (PDT) to:

Sun Oct 19 2025 00:00:00 GMT-0700 (PDT)

10/20/2025 10:28 am-Change to Line 4: Shipping delivery date has changed from: Fri Oct 17 2025 00:00:00 GMT-0700 (PDT) to:

Sun Oct 19 2025 00:00:00 GMT-0700 (PDT)

10/20/2025 10:28 am-Change to Line 3: Shipping delivery date has changed from: Fri Oct 17 2025 00:00:00 GMT-0700 (PDT) to:

Sun Oct 19 2025 00:00:00 GMT-0700 (PDT)

10/20/2025 10:28 am-Change to Line 2: Shipping delivery date has changed from: Fri Oct 17 2025 00:00:00 GMT-0700 (PDT) to:

Sun Oct 19 2025 00:00:00 GMT-0700 (PDT)

10/20/2025 10:28 am-Change to Line 1: Shipping delivery date has changed from: Fri Oct 17 2025 00:00:00 GMT-0700 (PDT) to:

Sun Oct 19 2025 00:00:00 GMT-0700 (PDT)

Order Date: 10/16/2025

Internal Tracking No.: 0000387970

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

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

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

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: Sun Oct 19 2025

00:00:00 GMT-0700 (PDT)

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: Sun Oct 19 2025

00:00:00 GMT-0700 (PDT)

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: Sun Oct 19 2025

00:00:00 GMT-0700 (PDT)

MPN: 508771-1855753

Manufac turer Name: TOPS

PRODUCTS LLC

75 BOX 13.33 $999.75

Order Date: 10/16/2025

Internal Tracking No.: 0000387970

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

4 61543 895490 Oxford Twin Portfolio Folders, Burgundy, 25/Box (Oxf 57557) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Sun Oct 19 2025

00:00:00 GMT-0700 (PDT)

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: Sun Oct 19 2025

00:00:00 GMT-0700 (PDT)

MPN: 907800-1855753

Manufac turer Name: TOPS

PRODUCTS LLC

100 PACK 7.99 $799.00

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: Sun Oct 19 2025

00:00:00 GMT-0700 (PDT)

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: Sun Oct 19 2025

00:00:00 GMT-0700 (PDT)

MPN: 510399-1855753

Manufacturer Name: WORKLIFE

BRANDS

20 BOX 5.97 $119.40

Order Date: 10/16/2025

Internal Tracking No.: 0000387970

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

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: Sun Oct 19 2025

00:00:00 GMT-0700 (PDT)

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 .