26020762-0.pdf

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Attached to
TXMAS TX|TXMAS-24-03101|15224188522|26020762
Contract number
26020762
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26020762) issued by the Texas Health and Human Services Commission (HHSC) on 10/24/2025, with HD Supply Facilities Maintenance, Ltd. as the contractor. The document involves multiple Texas locations, including delivery warehouses in Terrell and Rusk, and originates from the Texas Comptroller of Public Accounts' Statewide Procurement Division.

The purchase order is for three ROHO Wheelchair Cushions (Mosaic, 18"W X 16"D) with a unit price of $82.22, totaling $246.66. The order is placed under TXMAS Contract No. 24-03101, with a 30-day delivery after receipt (ARO) and a specified delivery date of 11/24/2025. The purchase is tax-exempt under Texas Tax Code Section 151.309(4), as the items are secured for exclusive use by the State of Texas. The order includes specific delivery instructions to Warehouse Staff and identifies key contacts including Teresa Wittenburg (Agency Contact) and Ana Breest (HHSC Buyer).

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Text version

Purchase Order PO No. 26020762

Order Date: 10/24/2025

Internal Tracking No.: 0000388613

Contractor Info Bill To Ship To HD Supply Facilities Maintenance, Ltd.

15224188522 3400 Cumberland Blvd SE Atlanta, GA 30339

(928) 595-1711

Terrell SH Whse 1200 E Brin

TERRELL TX 75160

Teresa WittenburgRusk SH Whse805 N Dickinson Dr, Rusk, TX 75785Warehouse: 614 Warehouse Staff Deliver Items To: Candace Blalack, bldg. 563 , rm# 205

NOTE TO CONTRACTOR: CAPPS PO# 388613

AGENCY CONTACT:

Teresa Wittenburg teresa.wittenburg@hhs.texas.gov 903-683-7278

HHSC BUYER:

Ana Breest, CTCD, CTCM 512-406-2679 Ana.breest@hhs.texas.gov

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

Ana Breest Ana.Breest@hhs.texas.gov (512) 406-2679

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 41012 680663 Roho Wheelchair Cushion Mosaic 18"W X 16"D Contract: TXMAS-24-03101 Contract Type: TXMAS Delivery ARO (days): 30 Delivery Date: 11/24/2025

MPN: MOS1816CA

Manufacturer Name: ROHO

3 EACH 82.22 $246.66

Total $246.66

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