26026691-1.pdf

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Attached to
Term TX|615-C1|10433908166|26026691
Contract number
26026691
Issued by
Texas

About this file

This document is a Purchase Order Change Notice from the Texas Health and Human Services Commission (HHSC), issued to Staples Contract & Commercial LLC under Purchase Order No. 26026691 on 11/18/2025. The order involves the Texas Comptroller of Public Accounts' Statewide Procurement Division, with the purchasing agency being HHSC's Agency/CO-OP Member (Commission - 529). The document indicates shipping locations in San Antonio and Kerrville, Texas, and includes a state sales tax exemption certificate.

The purchase order is for 7 Fellowes Mouse Pads (Non-Skid Rubber Backing, Black, Model 58024) at a unit price of $4.91, totaling $34.37. The order is placed under Contract 615-C1, which is a term contract with a delivery timeframe of 3 days after receipt (ARO), specifically scheduled for delivery on November 21, 2025. The order includes the manufacturer part number 667238-1855753 and is sourced from Fellowes. The document notes a revision history showing minor changes to the internal tracking number and contractor contact information.

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Text version

Purchase Order Change Notice PO No. 26026691

Order Date: 11/18/2025

Internal Tracking No.: HHSTX-6-0000390144

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

San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223

Kerrville SH Whse721 Thompson Dr, Kerrville, TX 78028

NOTE TO CONTRACTOR:

ATTN: Priscilla JareckePhone: 830-258-5218Email: Priscilla.jarecke@hhs.texas.gov

11/18/2025-ATTN: Priscilla JareckePhone: 830-258-5218Email: Priscilla.jarecke@hhs.texas.gov

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):11/18/2025 12:11 pm-Internal tracking number changed from: HHSTX-6-0000389942 to:

HHSTX-6-0000390144

11/18/2025 12:11 pm-Contractor note changed ATTN: Priscilla Jarecke

Phone: 830-258-5218

Email: Priscilla.jarecke@hhs.texas.gov to: ATTN: Priscilla JareckePhone: 830-258-5218Email: Priscilla.jarecke@hhs.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/CO-OP Member Purchaser Email Phone

Health & Human Services Commission - 529

Leslie Alexander leslie.alexander4@hhs.texas.gov (512) 000-0000

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

1 64561 667238 Fellowes Mouse Pad, Non-Skid Rubber Backing, Black (58024) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Fri Nov 21 2025

00:00:00 GMT-0800 (PST)

MPN: 667238-1855753

Manufacturer Name: FELLOWES

7 EACH 4.91 $34.37

Purchase Order Change Notice PO No. 26026691

Order Date: 11/18/2025

Internal Tracking No.: HHSTX-6-0000390144

Total $34.37

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