26021006-0.pdf

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Attached to
Term TX|615-C1|10433908166|26021006
Contract number
26021006
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26021006) issued by the Texas Department of State Health Services (DSHS) on 10/27/2025, with Staples Contract & Commercial LLC as the contractor. The purchase is being made through the Texas Comptroller of Public Accounts - Statewide Procurement Division, with Lindsey De La Rosa as the HHSC Buyer and Ruth Scott as the Agency Contact. The order is tax-exempt under Texas Tax Code, Section 151.309(4), and will be processed under Contract 615-C1.

The purchase order includes five line items of office supplies with a total value of $183.85: 5 packs of Smead Organized Up Poly File Jackets, 2 packs of Staples Business Cards, 4 boxes of Dymo Letratag Paper Label Maker Tape, 2 dozen Uniball Vision Elite Rollerball Pens, and 8 Brother P-Touch Laminated Label Maker Tapes. All items are to be delivered within 3 days (ARO) by 10/30/2025, using unit prices ranging from $2.29 to $17.20. The contract type is listed as "Term", and each item includes specific manufacturer details and part numbers.

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Text version

Purchase Order PO No. 26021006

Order Date: 10/27/2025

Internal Tracking No.: 0000388463

Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702

1100 West 49th Street

MC: 3063

Austin TX 78756

Ruth ScottDSHS-401 E FRANKLIN AVE, EL

PASO, TX 79901-1206

NOTE TO CONTRACTOR: PO#: 0000388463

AGENCY CONTACT/SHIP ATTN:

Ruth Scott Ruth.Scott@dshs.texas.gov

(915) 834-7675

HHSC BUYER:

Lindsey De La Rosa, CTCD, CTCM lindsey.delarosa@hhs.texas.gov

AP Email: invoices@dshs.texas.gov

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

Dept Of State Health Services -

Lindsey- De-La-Rosa- lindsey.delarosa@hhs.texas.gov (512) 294-3627

Order Date: 10/27/2025

Internal Tracking No.: 0000388463

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61541 558975 Smead Organized Up Poly File Jacket, Letter Size, Assorted, 5/Pack (85740) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/30/2025

MPN: 558975-1855753

Manufacturer Name: SMEAD

MANUFACTURING

5 PACK 2.29 $11.45

2 61586 470708 Staples Business Cards, 3.5"W X 2"L, 100/Pack (39298-Us/Mc100) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/30/2025

MPN: 470708-1855753

Manufacturer Name: WORKLIFE

BRANDS

2 PACK 17.20 $34.40

3 60530 24404693 Dymo Letratag 2050826 Paper Label Maker Tape, 1/2" X 13', Black On White, 6/Pack (2050826) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/30/2025

MPN: 24404693-1855753

Manufacturer Name: (DYMO)

NEWELL BRANDS DISTRIBUTION L

4 BOX 9.29 $37.16

4 62080 488260 Uniball Vision Elite Rollerball Pens, Micro Point, 0.5Mm, Black Ink, 12/Pack (69000) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/30/2025

MPN: 488260-1855753

Manufacturer Name: UNI-BALL

CORPORATION

2 DOZ 16.46 $32.92

Order Date: 10/27/2025

Internal Tracking No.: 0000388463

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

5 60530 917860 Brother P-Touch Tze-231 Laminated Label Maker Tape, 1/2" X 26-2/10', Black On White (Tze-231) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/30/2025

MPN: 917860-1855753

Manufacturer Name: BROTHER

INTERNATIONAL CORP.

8 EACH 8.49 $67.92

Total $183.85

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