26006987-1.pdf

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Term TX|615-C1|10433908166|26006987
Contract number
26006987
Issued by
Texas

About this file

This is a Purchase Order Change Notice (PO No. 26006987) issued by the Texas Health and Human Services Commission (HHSC) on 10/16/2025, involving Staples Contract & Commercial LLC as the contractor. The document is associated with the San Antonio State Office (San Antonio SH) and features Kimberly Bethany as the agency contact and Oluwaseyi Omisore as the HHSC buyer. The purchase order is tracked internally with the number 0000387994 and references Contract 615-C1.

The purchase order is for 100 Staples Matte 2-Pocket Plastic Portfolio Folders with Fasteners in Blue (Manufacturer Part #24386263), priced at $1.66 each for a total of $166.00. The delivery is set for 3 days after receipt of order (ARO), with a specific delivery date of October 19, 2025. The order is tax-exempt under Texas Tax Code, Section 151.309(4), and is being secured for the exclusive use of the State of Texas. The document includes a revision history noting a change in the shipping delivery date, and it is processed through the Texas Comptroller of Public Accounts - Statewide Procurement Division.

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Purchase Order Change Notice PO No. 26006987

Order Date: 10/16/2025

Internal Tracking No.: 0000387994

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

San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223

Kimberly Bethany5900 S Presa StBuilding 669, San Antonio, TX 78223undefined

NOTE TO CONTRACTOR:

CAPPS FIN PO#:0000387994

AGENCY CONTACT:

Kimberly Bethany

210-531-5393

Kimberly.bethany@hhs.texas.gov

AP Email: SAHAccounting@dshs.texas.gov

Ship to Attn: Kimberly Bethany

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

10/16/2025-CAPPS FIN PO#:0000387994

AGENCY CONTACT:

Kimberly Bethany

210-531-5393

Kimberly.bethany@hhs.texas.gov

AP Email: SAHAccounting@dshs.texas.gov

Ship to Attn: Kimberly Bethany

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-CAPPS FIN PO#:0000387994

AGENCY CONTACT:

Kimberly Bethany

210-531-5393

Order Date: 10/16/2025

Internal Tracking No.: 0000387994

Kimberly.bethany@hhs.texas.gov

AP Email: SAHAccounting@dshs.texas.gov

Ship to Attn: Kimberly Bethany

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

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):10/20/2025 10:32 am-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)

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 61543 24386263 Staples Matte 2-Pocket Plastic P o r t f o l i o F o l d e r W i t h Fasteners, Blue (St55477-Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Sun Oct 19 2025

00:00:00 GMT-0700 (PDT)

MPN: 24386263-1855753

Manufacturer Name: WORKLIFE

BRANDS

100 EACH 1.66 $166.00

Order Date: 10/16/2025

Internal Tracking No.: 0000387994

Total $166.00

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