26007186-0.pdf
PDF 16 KB Posted
- Attached to
- Term TX|615-C1|10433908166|26007186
- Contract number
- 26007186
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26007186) issued by the Texas Health and Human Services Commission (HHSC) on 10/17/2025, with an internal tracking number of 000388083. The order is placed with Staples Contract & Commercial LLC, located in Framingham, MA, and will be delivered to the HHSC-Mexia SSLC Warehouse in Mexia, TX. The purchase is made under Contract 615-C1, a term contract, with the agency purchaser being Kourtney Viktora.
The purchase order includes three line items: 80 Ampad Memo Pads (3" x 5", narrow ruled) from TOPS Business Forms at $1.39 each, totaling $111.20; 24 Pendaflex Glow Plastic File Jackets (letter size) from TOPS Products LLC at $6.54 per pack, totaling $156.96; and 20 Dymo Letratag Plastic Label Maker Tapes from Sanford, L.P. at $4.56 each, totaling $91.20. The total purchase amount is $359.36, with a specified delivery date of 10/20/2025 and a delivery timeframe of 3 days after receipt of order (ARO). The order is exempt from federal excise taxes and falls under the Texas Tax Code Section 151.309(4) for state and city sales tax exemption.
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Text version
Purchase Order PO No. 26007186
Order Date: 10/17/2025
Internal Tracking No.: 000388083
Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702
424 Mesquite Dr Mexia SSLC Mexia TX 76667
HHSC -MEXIA SSLC WHSE424 Mesquite Dr, MEXIA, TX 76667undefined
NOTE TO CONTRACTOR: PO#: 0000388083
AGENCY CONTACT:
Whse Supvr Ricky Salazar ricky.salazar@hhs.texas.gov Ph: 254-562-1372 REGIONAL CONTACT: 710accounting@hhs.texs.gov DELIVERY: Delivery hours are from 8:00-11:30 AM and 1:00-4:30 PM Monday – Friday except designated State Holidays 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
Kourtney Viktora kourtney.Viktora@hhs.texas.gov (512) 776-2692
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 78573 801100 Ampad Memo Pads, 3" X 5", Narrow Ruled, 50 Sheets, Assorted Colors, Each (25-093) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/20/2025
MPN: 801100-1855753
Manufac turer Name: TOPS
BUSINESS FORMS
80 EACH 1.39 $111.20
Purchase Order PO No. 26007186
Order Date: 10/17/2025
Internal Tracking No.: 000388083
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
2 61545 1075845 Pendaflex Glow Plastic File Jacket, 1" Expansion, Letter Size, Assorted, 5/Pack (50992) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/20/2025
MPN: 1075845-1855753
Manufac turer Name: TOPS
PRODUCTS LLC
24 PACK 6.54 $156.96
3 60530 391431 Dymo Letratag 91331 Plastic Label Maker Tape, 1/2" X 13', Black On White (91331) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/20/2025
MPN: 391431-1855753
Manufacturer Name: SANFORD, L.P.
20 EACH 4.56 $91.20
Total $359.36
File details come from the government source that posted it. Updated .