26025739-0.pdf

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Attached to
Term TX|615-C1|10433908166|26025739
Contract number
26025739
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 26025739) issued by the Texas Health and Human Services Commission (HHSC), Agency 529, on 11/12/2025. The purchase order involves Staples Contract & Commercial LLC, located in Framingham, MA, as the contractor. The order is to be shipped to Mary Brothers at 6515 Kemp Blvd in Wichita Falls, TX, with the billing address at Terrell SH Whse in Terrell, TX.

The purchase order is for 30 boxes of Avery Printable Laser/Inkjet Name Badge Insert Refills (2 1/4" X 3 1/2", White, 400 Inserts Per Box), with a unit price of $16.41 and a total order value of $492.30. The order is placed under Contract 615-C1, which is a term contract, with a delivery timeframe of 3 days after receipt of order (ARO), specifically set for 11/17/2025. The purchase is tax-exempt under Texas Tax Code, Section 151.309(4), and is for the exclusive use of the State of Texas. The agency purchaser is Ron Connell, who can be contacted at Ron.Connell@hhs.texas.gov.

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Text version

Purchase Order PO No. 26025739

Order Date: 11/12/2025

Internal Tracking No.: HHSTX-6-0000389695

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

Mary Brothers6515 Kemp Blvd, Wichita Falls, TX 76308

NOTE TO CONTRACTOR: Agency: 529-HHSC

Agency Contact: Mary Brothers, mary.brothers@hhs.texas.gov, 940-689-5536

Accounts Payable: DSHS.TSHBusinessOffice@dshs.texas.gov, 512-438-4222

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

Health & Human Services Commission - 529

Ron Connell Ron.Connell@hhs.texas.gov (830) 285-2032

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 08010 404061 Avery Printable Laser/Inkjet Name Badge Insert Refills, 2 1/4" X 3 1/2", White, 400 Inserts Per Box (5390) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/17/2025

MPN: 404061-1855753

Manufacturer Name: AVERY

PRODUCTS CORPORATION

30 BOX 16.41 $492.30

Total $492.30

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