26009441-0.pdf
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- Attached to
- Term TX|615-C1|10433908166|26009441
- Contract number
- 26009441
- Issued by
- Texas
About this file
This document is a Purchase Order (PO No. 26009441) issued by the Department of State Health Services (DSHS), a Texas state agency, dated 10/23/2025. The purchasing agency is working with Staples Contract & Commercial LLC, located in Framingham, Massachusetts, under Contract 615-C1. The order is being shipped to Samuel Savala at the DSHS location in Arlington, Texas, with the purchasing contact being Sharonda Holton.
The purchase order includes six line items totaling $199.04, consisting of office supplies such as Staples Zipper Polyester Pouches, Pilot G2 Retractable Gel Pens in various colors and point sizes, Fellowes Foam Wrist Rests, a Fellowes Plushtouch Mouse Pad/Wrist Rest Combo, and Swiffer Dusters Cloth Refills. The contract is a term contract with a 3-day delivery turnaround, set for delivery on 10/27/2025. The State of Texas claims tax exemption under Texas Tax Code Section 151.309(4), and the purchase is secured for the exclusive use of the state. Each item is specified with its NIGP Code, manufacturer, and specific product details, with unit prices ranging from $1.31 to $16.41.
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Text version
Purchase Order PO No. 26009441
Order Date: 10/23/2025
Internal Tracking No.: 0000388488
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
Samual SavalaDSHS-1301 S BOWEN RD STE
200, ARLINGTON, TX 76013
NOTE TO CONTRACTOR: CONTACT: Samuel Savala 817-264-4502 Samual.Savala@dshs.texas.gov Contract: 615-C1
HHS REQ: 317649
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 -
Sharonda Holton Sharonda.holton@hhs.texas.gov (512) 406-2464
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 78545 472597 Staples Zipper Polyester Pouch, Black (24220) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/27/2025
MPN: 472597-1855753
Manufacturer Name: WORKLIFE
BRANDS
25 EACH 1.31 $32.75
2 62080 648103 Pilot G2 Retractable Gel Pens, Bold Point, Blue Ink, Dozen (31257) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/27/2025
MPN: 648103-1855753
Manufacturer Name: PILOT CORP
5 DOZ 10.42 $52.10
Purchase Order PO No. 26009441
Order Date: 10/23/2025
Internal Tracking No.: 0000388488
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
3 62080 429174 Pilot G2 Retractable Gel Pens, Fine Point, Black Ink, Dozen (31020) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/27/2025
MPN: 429174-1855753
Manufacturer Name: PILOT CORP
5 DOZ 10.40 $52.00
4 64561 659107 Fellowes Foam Wrist Rest, Black (9178201) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/27/2025
MPN: 659107-1855753
Manufacturer Name: FELLOWES
1 EACH 13.56 $13.56
5 64561 938392 Fellowes Plushtouch Foam Non- Skid Mouse Pad/Wrist Rest Combo, Black (9252001) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/27/2025
MPN: 938392-1855753
Manufacturer Name: FELLOWES
1 EACH 16.41 $16.41
6 80176 2728765 Swiffer Dusters Cloth Refills, Blue, 18/Box (99036) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/27/2025
MPN: 2728765-1855753
Manufacturer Name: PROCTER &
GAMBLE DISTRIBUTING LLC
2 BOX 16.11 $32.22
Total $199.04
File details come from the government source that posted it. Updated .