26026283-0.pdf
PDF 17 KB Posted
- Attached to
- Term TX|615-C1|10433908166|26026283
- Contract number
- 26026283
- Issued by
- Texas
About this file
This document is a Purchase Order (PO No. 26026283) issued by the Texas Department of State Health Services (DSHS), a state agency, on 11/14/2025. The purchase order is awarded to Staples Contract & Commercial LLC, located in Framingham, Massachusetts, under Contract 615-C1, which appears to be a term contract. The purchasing agency is operating under the Texas Comptroller of Public Accounts - Statewide Procurement Division, with the specific purchaser being Debra Burns.
The purchase order covers two line items: 6 Duracell 303/357/76 Silver Oxide Batteries at $3.25 each (total $19.50) and 5 HP 89A Black Standard Yield Toner Cartridges at $144.25 each (total $721.25), with a total order value of $740.75. The order specifies a delivery date of 11/17/2025 with an After Receipt of Order (ARO) period of 3 days. The items are to be delivered to the DSHS Laboratory L-114 on the 6th floor, Room L-641, with the specific point of contact being Virginia Flores. The purchase is tax-exempt under Texas Tax Code, Section 151.309(4), as the property is being secured for the exclusive use of the State of Texas.
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Text version
Purchase Order PO No. 26026283
Order Date: 11/14/2025
Internal Tracking No.: 0000389959
Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702
PO BOX 149347
Fiscal Division/Accounts Payable
AUSTIN TX 78714-9347
ATTN Virgin ia Flores1100 W 49TH STLaboratory L114 FLOOR: 2nd, AUSTIN, TX 78756-3101Building: Laboratory L-114 Floor:
6th, Room L-641 Contact: Virginia Flores
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000389959 AND ATTN CONTACT INFO *** SHIP TO ATTN Virginia Flores 512-776-7587 Virginia.Flores@dshs.texas.gov Building: Laboratory L-114 Floor: 6th, Room L-641 Contact: Virginia Flores ATTN DSHS CLAIMS: Send approval requests to LabAccounting@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
Dept Of State Health Services -
Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564
Order Date: 11/14/2025
Internal Tracking No.: 0000389959
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 45006 287201 Duracell 303/357/76 Silver Oxide Battery (D303/357Ea) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/17/2025 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
***ORDER CONFIRMATION
REQUIRED FROM VENDOR***
SHIP TO ATTN Virginia Flores 5 1 2 - 7 7 6 - 7 5 8 7 Virginia.Flores@dshs.texas.gov REQUESTER DeLaPaz,Paloma 5 1 2 - 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov
FOR DSHS INTERNAL DELIVERY
INFO:
Building: Laboratory L-114 Floor: 6th, Room L-641 Contact: Virginia Flores
CODE # 4546
MPN: 287201-1855753
Manufacturer Name: DURACELL
DISTRIBUTING INC.
6 EACH 3.25 $19.50
Order Date: 11/14/2025
Internal Tracking No.: 0000389959
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
2 20772 24394160 Hp 89A Black Standard Yield Toner Cartridge, Print Up To 5000 Pages Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/17/2025 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
***ORDER CONFIRMATION
REQUIRED FROM VENDOR***
SHIP TO ATTN Virginia Flores 5 1 2 - 7 7 6 - 7 5 8 7 Virginia.Flores@dshs.texas.gov REQUESTER DeLaPaz,Paloma 5 1 2 - 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov
FOR DSHS INTERNAL DELIVERY
INFO:
Building: Laboratory L-114 Floor: 6th, Room L-641 Contact: Virginia Flores
CODE # 4546
MPN: 24394160-1855753
Manufacturer Name: HP INC.
5 EACH 144.25 $721.25
Total $740.75
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