26007467-0.pdf

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Attached to
Term TX|645-A3|11336707630|26007467
Contract number
26007467
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26007467) issued by the Texas Health and Human Services Commission (HHSC) on 10/21/2025, with an internal tracking number of 388235. The contractor is Western - BRW Paper Co., Inc., located in Austin, TX, and the purchase order is being processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division.

The purchase order is for 12 units of 4-part reverse carbonless paper manufactured by Nekoosa, with specifications including 20 lb paper weight, size 17.5x22.5, in colors pink/canary/white/goldenrod. The total order value is $1,535.40, with a unit price of $127.95. The order is based on Contract 645-A3, which is a term contract, with a delivery timeframe of 7 days after receipt of order (ARO), specifically set for delivery on 10/28/2025. The State of Texas is exempt from federal excise taxes, and the purchase is secured under Texas Tax Code, Section 151.309(4) for exclusive state use.

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Text version

Purchase Order PO No. 26007467

Order Date: 10/21/2025

Internal Tracking No.: 388235

Contractor Info Bill To Ship To Western - BRW Paper Co., Inc.

11336707630 6301 E. Stassney Lane Bldg 9, Suite 200 Austin, TX 78744

(512) 339-9987

4601 W Guadalupe St.

Austin TX 78751

Jeff BlueHealth and Human Services Commission12300 Technology Blvd., Austin, TX 78727

NOTE TO CONTRACTOR: PO#: 388235

AGENCY CONTACT:

Jeff Blue (512) 250-7147 jeffrey.blue@hhs.texas.gov AP Email: HHSC_AP@hhsc.state.tx.us

HHSC BUYER:

Becky Burgess (512) 406-2619 becky.burgess@hhs.texas.gov Invoice per 34 TAC §20.487, amended effective May 1, 2022

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

Becky Burgess Becky.Burgess@hhs.texas.gov (512) 406-2619

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 64530 64530100005 4 Part Reverse Carbonless Paper, Paper Weight: 20 lb; Size: 17.5x22.5;

U n c o a t e d , Pink/Canary/White/Goldenrod Contract: 645-A3 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 10/28/2025

MPN: N33-38057

Manufacturer Name: Nekoosa

12 M 127.95 $1,535.40

Total $1,535.40

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