26007072-0.pdf

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Attached to
Term TX|615-C1|10433908166|26007072
Contract number
26007072
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 26007072) issued by the Texas Department of State Health Services (DSHS), Agency 537, on 10/17/2025. The purchasing agency is working with Staples Contract & Commercial LLC, located in Framingham, MA, under Contract 615-C1, with the goods to be shipped to Anna Macias-Tandi in Harlingen, TX.

The purchase order includes five line items of office supplies: 10 sets of Avery Big Tab Extra Wide Insertable Paper Dividers (multicolor and clear), 1 Fellowes Crystals Gel Mouse Pad/Wrist Rest Combo in purple, 7 Staples 1" 3-Ring Teal Binders, and 4 Staples 2" 3-Ring Teal View Binders. The total purchase amount is $149.55, with a term contract and a 3-day delivery after receipt of order (ARO), with all items scheduled for delivery on 10/20/2025. The state of Texas claims tax exemption for these purchases under Texas Tax Code, Section 151.309(4), as the items are for exclusive state use.

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Text version

Purchase Order PO No. 26007072

Order Date: 10/17/2025

Internal Tracking No.: HHSTX-6-0000388025

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

PO BOX 149347

Fiscal Division/Accounts Payable

AUSTIN TX 78714-9347

Anna Macias-Tandi1301 S Rangerville Rd, Harlingen, TX 78552undefined

NOTE TO CONTRACTOR: Agency: 537-DSHS

Agency Contact: Anna Macias-Tandi, Anna.MaciasTandi@dshs.texas.gov, 956-364-8369

Accounts Payable: Invoices@dshs.texas.gov, 512-776-2525

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

Dept Of State Health Services -

Ron Connell Ron.Connell@hhs.texas.gov (830) 285-2032

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61539 AVE11220 Avery Big Tab Extra Wide Insertable Paper Divider, 5 Tabs, Multicolor, 1 Set (11220) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/20/2025

MPN: AVE-11220

Manufacturer Name: Essendant

10 SET 1.15 $11.50

Purchase Order PO No. 26007072

Order Date: 10/17/2025

Internal Tracking No.: HHSTX-6-0000388025

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 64561 478452 Fellowes Crystals Gel Mouse Pad/Wrist Rest Combo, Non-Skid Base, Purple (91441) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/20/2025

MPN: 478452-1855753

Manufacturer Name: FELLOWES

1 EACH 17.02 $17.02

3 61539 817782 Avery Big Tab Extra-Wide Insertable Paper Dividers, 8-Tab, Clear, Set (11223) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/20/2025

MPN: 817782-1855753

Manufacturer Name: AVERY

PRODUCTS CORPORATION

10 SET 1.83 $18.30

4 61509 651740 Staples 1" 3-Ring Better Binder, D- Ring, Teal (13466-Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/20/2025

MPN: 651740-1855753

Manufacturer Name: WORKLIFE

BRANDS

7 EACH 9.39 $65.73

5 61509 24503053 Staples 2" 3-Ring View Binder, D- Ring, Teal (St55426) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/20/2025

MPN: 24503053-1855753

Manufacturer Name: AVERY

PRODUCTS CORPORATION

4 EACH 9.25 $37.00

Total $149.55

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