26026714-0.pdf

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Attached to
Term TX|615-C1|10433908166|26026714
Contract number
26026714
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26026714) issued by the Department of State Health Services (DSHS) in Texas on 11/18/2025, with Staples Contract & Commercial LLC as the primary contractor. The purchase order is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with the specific agency purchaser being Debra Burns from DSHS.

The purchase order covers various office supplies from multiple manufacturers, including Alliance Rubber, Sanford Corp, Newell Brands Distribution, Worklife Brands, and 3M Corporation. The order includes items such as rubber bands in various sizes, Expo dry erase markers, Post-It notes in different sizes and collections, and Post-It tabs. The contract is a term contract (615-C1) with a 3-day delivery after receipt (ARO) and a delivery date of 11/21/2025. The total purchase amount is $91.94, with unit prices ranging from $2.60 to $7.27 per pack. All items are to be delivered to the DSHS warehouse at Tower, Room 502m office 502.01, with specific instructions for packing lists and order confirmations.

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Text version

Purchase Order PO No. 26026714

Order Date: 11/18/2025

Internal Tracking No.: 0000390161

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 Dzienowski,Kaley B1111 W North Loop, Austin, TX 78756Tower, Room 502m office 502.01

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000390161 AND ATTN CONTACT INFO ***

***ORDER CONFIRMATION REQUIRED FROM VENDOR***

SHIP TO ATTN Dzienowski,Kaley B 512-632-5752 kaley.dzienowski@dshs.texas.gov WAREHOUSE DELIVERY INFORMATION Tower, Room 502m office 502.01 ***SEND INVOICE TO invoices@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: 11/18/2025

Internal Tracking No.: 0000390161

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61575 509906 Alliance Rubber Reusable Solutions Multi-Purpose Rubber Bands, 117B, 50/Pack (07807) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/21/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Dzienowski,Kaley B 5 1 2 - 6 3 2 - 5 7 5 2 kaley.dzienowski@dshs.texas.gov

WA R E H O U S E D E L I V E RY

INFORMATION

Tower, Room 502m office 502.01

MPN: 509906-1855753

Manufacturer Name: ALLIANCE

RUBBER

2 PACK 2.60 $5.20

2 65954 474335 Expo Dry Erase Markers, Chisel Tip, Assorted, 8/Pack (80678) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/21/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Dzienowski,Kaley B 5 1 2 - 6 3 2 - 5 7 5 2 kaley.dzienowski@dshs.texas.gov

WA R E H O U S E D E L I V E RY

INFORMATION

Tower, Room 502m office 502.01

MPN: 474335-1855753

Manufacturer Name: SANFORD

CORP

1 PACK 7.27 $7.27

Order Date: 11/18/2025

Internal Tracking No.: 0000390161

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

3 62090 1677925 Expo Dry Erase Markers, Chisel Tip, Assorted, 8/Pack (1927524) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/21/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Dzienowski,Kaley B 5 1 2 - 6 3 2 - 5 7 5 2 kaley.dzienowski@dshs.texas.gov

WA R E H O U S E D E L I V E RY

INFORMATION

Tower, Room 502m office 502.01

MPN: 1677925-1855753

Manufacturer Name: (SANFORD)

NEWELL BRANDS DISTRIBUTIO

2 PACK 6.63 $13.26

4 61562 689309 Post-It Notes, 1 3/8" X 1 7/8", Beachside Caf233; Collection, 100 Sheets/Pad, 24 Pads/Pack (653-24Apvad) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/21/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Dzienowski,Kaley B 5 1 2 - 6 3 2 - 5 7 5 2 kaley.dzienowski@dshs.texas.gov

WA R E H O U S E D E L I V E RY

INFORMATION

Tower, Room 502m office 502.01

MPN: 689309-1855753

M a n u fa c t u r e r N a m e : 3 M

CORPORATION

1 PACK 5.95 $5.95

Order Date: 11/18/2025

Internal Tracking No.: 0000390161

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

5 61562 490943 Post-It Notes, 4" X 6", Beachside Caf233; Collection, Lined, 100 Sheets/Pad, 5 Pads/Pack (660-5Pk- Ast) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/21/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Dzienowski,Kaley B 5 1 2 - 6 3 2 - 5 7 5 2 kaley.dzienowski@dshs.texas.gov

WA R E H O U S E D E L I V E RY

INFORMATION

Tower, Room 502m office 502.01

MPN: 490943-1855753

M a n u fa c t u r e r N a m e : 3 M

CORPORATION

2 PACK 6.76 $13.52

6 61562 956975 Post-It Tabs, 1" Wide, Assorted Solid Colors, 100 Tabs/Pack (686- Raly) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/21/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Dzienowski,Kaley B 5 1 2 - 6 3 2 - 5 7 5 2 kaley.dzienowski@dshs.texas.gov

WA R E H O U S E D E L I V E RY

INFORMATION

Tower, Room 502m office 502.01

MPN: 956975-1855753

M a n u fa c t u r e r N a m e : 3 M

CORPORATION

2 PACK 3.70 $7.40

Order Date: 11/18/2025

Internal Tracking No.: 0000390161

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

7 61575 808592 Staples Economy Rubber Bands, 19, 1 Lb. Bag, 1500/Pack (28620-Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/21/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Dzienowski,Kaley B 5 1 2 - 6 3 2 - 5 7 5 2 kaley.dzienowski@dshs.texas.gov

WA R E H O U S E D E L I V E RY

INFORMATION

Tower, Room 502m office 502.01

MPN: 808592-1855753

Manufacturer Name: WORKLIFE

BRANDS

1 PACK 6.16 $6.16

8 61575 808634 Staples Economy Rubber Bands, 33, 1 Lb. Bag, 820/Pack (28619-Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/21/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Dzienowski,Kaley B 5 1 2 - 6 3 2 - 5 7 5 2 kaley.dzienowski@dshs.texas.gov

WA R E H O U S E D E L I V E RY

INFORMATION

Tower, Room 502m office 502.01

MPN: 808634-1855753

Manufacturer Name: WORKLIFE

BRANDS

2 PACK 6.16 $12.32

Order Date: 11/18/2025

Internal Tracking No.: 0000390161

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

9 61575 808659 Staples Economy Rubber Bands, 64, 1 Lb. Bag, 380/Pack (28618-Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/21/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Dzienowski,Kaley B 5 1 2 - 6 3 2 - 5 7 5 2 kaley.dzienowski@dshs.texas.gov

WA R E H O U S E D E L I V E RY

INFORMATION

Tower, Room 502m office 502.01

MPN: 808659-1855753

Manufacturer Name: WORKLIFE

BRANDS

2 PACK 6.16 $12.32

10 61562 24295909 Staples Pop-Up Notes, 3" X 3", Berry Blast Collection, 100 Sheet/Pad, 12 Pads/Pack (52225) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/21/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Dzienowski,Kaley B 5 1 2 - 6 3 2 - 5 7 5 2 kaley.dzienowski@dshs.texas.gov

WA R E H O U S E D E L I V E RY

INFORMATION

Tower, Room 502m office 502.01

MPN: 24295909-1855753

M a n u fa c t u r e r N a m e : 3 M

CORPORATION

2 PACK 4.27 $8.54

Total $91.94

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