26007777-0.pdf
PDF 14 KB Posted
- Attached to
- Term TX|615-C1|10433908166|26007777
- Contract number
- 26007777
- Issued by
- Texas
About this file
This document is a Purchase Order (PO No. 26007777) issued by the Texas Department of State Health Services (DSHS) on 10/22/2025, with Staples Contract & Commercial LLC as the contractor. The purchase order is processed through the Texas Comptroller of Public Accounts - Statewide Procurement Division, with Maricella Duran as the agency purchaser and Samantha Butler as the primary contact.
The purchase order is for 3 HP 58A Black Standard Yield Toner Cartridges (CF258A), capable of printing up to 3,000 pages, manufactured by HP INC. The items are priced at $101.29 each, totaling $303.87, and are being purchased under Contract 615-C1, a term contract with a 3-day delivery timeframe (expected delivery on 10/27/2025). The order includes a state sales tax exemption under Texas Tax Code, Section 151.309(4), and is for the exclusive use of the State of Texas.
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Text version
Purchase Order PO No. 26007777
Order Date: 10/22/2025
Internal Tracking No.: 0000388315
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
Samantha Butler1111 W North Loop, Austin, TX 78756Email: Samantha.Butler@dshs.texas.gov
NOTE TO CONTRACTOR: AGENCY CONTACT:
Name: Samantha Butler Email: Samantha.Butler@dshs.texas.gov
AP Email: invoices@dshs.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
Dept Of State Health Services -
Maricella Duran maricella.duran@hhs.texas.gov (512) 000-0000
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 20772 24398981 Hp 58A Black Standard Yield Toner Cartridge (Cf258A), Print Up To 3000 Pages Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/27/2025
MPN: 24398981-1855753
Manufacturer Name: HP INC.
3 EACH 101.29 $303.87
Total $303.87
File details come from the government source that posted it. Updated .