26025143-1.pdf
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- Attached to
- Term TX|645-A3|11336707630|26025143
- Contract number
- 26025143
- Issued by
- Texas
About this file
This document is a Purchase Order Change Notice (PO No. 26025143) issued by the Texas Health and Human Services Commission (HHSC) on November 6, 2025, with an internal tracking number of HHSTX-6-0000389424. The purchase order involves Western - BRW Paper Co., Inc., located in Austin, Texas, as the contractor, with the order being processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division.
The purchase order is for 24 units of 4-part reverse carbonless paper, manufactured by Nekoosa, with specific dimensions of 17.5x22.5 inches and a paper weight of 20 lb. The paper comes in a color combination of pink, canary, white, and goldenrod. The total contract value is $3,070.80, with a unit price of $127.95. The order is associated with Contract 645-A3, which is a term contract, and has a delivery timeframe of 7 days after receipt of order (ARO), with the expected delivery date of November 13, 2025. The purchase is exempt from federal excise taxes and falls under a state and city sales tax exemption for tangible personal property secured for exclusive state use.
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Text version
Purchase Order Change Notice PO No. 26025143
Order Date: 11/6/2025
Internal Tracking No.: HHSTX-6-0000389424
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
Health and Human Services Commission 4601 Guadalupe St Austin TX 78751
Jeff Blue12300 Technology Blvd, Austin, TX 78727
NOTE TO CONTRACTOR:
PO#: HHSTX-6-0000389424AGENCY CONTACT:Jeffrey BlueJeffrey.Blue@hhs.texas.govAP Email:
HHSC_AP@hhsc.state.tx.usHHSC BUYER:Chelsea StefekChelsea.Stefek@hhs.texas.govDELIVERY:12300 Technology BlvdAustin TX 78727Invoice per 34 TAC §20.487, amended effective May 1, 2022
11/6/2025-PO#: HHSTX-6-0000389424AGENCY CONTACT:Jeffrey BlueJeffrey.Blue@hhs.texas.govAP Email:
HHSC_AP@hhsc.state.tx.usHHSC BUYER:Chelsea StefekChelsea.Stefek@hhs.texas.govDELIVERY:12300 Technology BlvdAustin TX 78727Invoice per 34 TAC §20.487, amended effective May 1, 2022
REVISION HISTORY:
PO Revision #: 1 PO Change Reasons (Aggregated):11/6/2025 10:38 am-Contractor note changed PO#: HHSTX-6-0000389424
AGENCY CONTACT:
Jeffrey Blue jeffrey.blue@hhs.texas.gov
AP Email: HHSC_AP@hhsc.state.tx.us
HHSC BUYER:
Chelsea Stefek
Chelsea.Stefek@hhs.texas.gov
DELIVERY:
12300 Technology Blvd
Austin TX 78727
Invoice per 34 TAC §20.487, amended effective May 1, 2022 to: PO#: HHSTX-6-0000389424AGENCY CONTACT:Jeffrey BlueJef f rey.Blue@hhs.texas.govAP Emai l : HHSC_AP@hhsc.state. tx.usHHSC BUYER:Chelsea StefekChelsea.Stefek@hhs.texas.govDELIVERY:12300 Technology BlvdAustin TX 78727Invoice per 34 TAC §20.487, amended effective May 1, 2022
Purchase Order Change Notice PO No. 26025143
Order Date: 11/6/2025
Internal Tracking No.: HHSTX-6-0000389424
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/CO-OP Member Purchaser Email Phone
Health & Human Services Commission - 529
Chelsea Stefek chelsea.stefek@hhs.texas.gov (512) 000-0000
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
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: Thu Nov 13 2025
00:00:00 GMT-0800 (PST)
MPN: N33-38057
Manufacturer Name: Nekoosa
24 M 127.95 $3,070.80
Total $3,070.80
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