26025235-0.pdf

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Attached to
Term TX|615-C1|10433908166|26025235
Contract number
26025235
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26025235) issued by the Texas Health & Human Services Commission on 11/6/2025, involving Staples Contract & Commercial LLC as the contractor. The purchase order is specifically for the Terrell SH Warehouse and Rusk State Hospital, both located in Texas. The order is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Debra Burns as the agency purchaser.

The purchase order includes two line items: 2 packs of Avery Sure Feed Laser Address Labels (1" X 2 5/8", Pastel Blue, 750 Labels/Pack) at $16.75 per pack, totaling $33.50, and 6 Champion Sports Composite Basketballs (Official Size, 30", Brown) at $17.78 each, totaling $106.68. The total order value is $140.18. The items are to be delivered to specific warehouse locations within 3 days (by 11/10/2025) under Contract 615-C1, which is a term contract. The order requires a packing list showing the PO number and contact information, and vendors must provide order confirmation.

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Text version

Purchase Order PO No. 26025235

Order Date: 11/6/2025

Internal Tracking No.: 0000389474

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

Terrell SH Whse 1200 E Brin

TERRELL TX 75160

Items to be shipped to multiple addresses. See shipping details below for each line item.

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000389474 AND ATTN CONTACT INFO *** SHIP TO ATTN Walley Wittenburg,Teresa 903-683-7278 teresa.wittenburg@dshs.texas.gov Contract Manager (for SCOR): Jerry McClure 903-683-7621 jerry.mcclure@hhs.texas.gov **SEND INVOICES VIA EMAIL TO DSHS.TSHBusinessOffice@dshs.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

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564 mailto:Debra.Burns@hhs.texas.gov

Order Date: 11/6/2025

Internal Tracking No.: 0000389474

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61560 538272 Avery Sure Feed Laser Address Labels, 1" X 2 5/8", Pastel Blue, 750 Labels/Pack (5980) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/10/2025 Ship to Address:

ATTN Teresa WittenburgRusk SH Whse805 N Dickinson Dr, Rusk, TX

75785WAREHOUSE DELIVERY INFO

Warehouse: 614 Warehouse Staff Deliver Items To:

Candace Blalack, bldg. 563 , rm # 205 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

S H I P T O AT T N W a l l e y Wittenburg,Teresa 903-683-7278 teresa.wittenburg@dshs.texas.gov Contract Manager (for SCOR): Jerry M c C l u r e 9 0 3 - 6 8 3 - 7 6 2 1 jerry.mcclure@hhs.texas.gov Rusk State Hospital 805 N Dickinson Dr Rusk TX 75785 LINE 1 DELIVERY Warehouse: 614 Warehouse Staff Deliver Items To:

Candace Blalack, bldg. 563 , rm # 205

MPN: 5980

Manufacturer Name: Avery Products Corporation

2 PACK 16.75 $33.50

Order Date: 11/6/2025

Internal Tracking No.: 0000389474

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 19568 CSISB1020 Champion Sports Composite Basketball, Official Size, 30", Brown Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/10/2025 Ship to Address:

ATTN Teresa WittenburgRusk SH Whse805 N Dickinson Dr, Rusk, TX 75785Warehouse: 614 Warehouse Staff Deliver To: Jillian Holland; 802- F108 Shipping Code: 5035 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

S H I P T O AT T N W a l l e y Wittenburg,Teresa 903-683-7278 teresa.wittenburg@dshs.texas.gov Contract Manager (for SCOR): Jerry M c C l u r e 9 0 3 - 6 8 3 - 7 6 2 1 jerry.mcclure@hhs.texas.gov Rusk State Hospital 805 N Dickinson Dr Rusk TX 75785 LINE 2 Warehouse: 614 Warehouse Staff Deliver To: Jillian Holland; 802- F108 Shipping Code: 5035

MPN: CSI-SB1020

Manufacturer Name: Essendant

6 EACH 17.78 $106.68

Total $140.18

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