26026765-0.pdf
PDF 15 KB Posted
- Attached to
- Term TX|615-C1|10433908166|26026765
- Contract number
- 26026765
- Issued by
- Texas
About this file
This document is a Purchase Order (PO No. 26026765) issued by the Texas Health and Human Services Commission (HHSC) on 11/18/2025, with an internal tracking number HHSTX-6-0000389933. The purchase order is with Staples Contract & Commercial LLC, located in Framingham, MA, and will be delivered to Angel Rivera at 1111 W North Loop, Austin, TX 78756.
The purchase order is for a single Fellowes Memory Foam Mouse Pad/Wrist Rest Combo (Black, Model Fe19176501) with a unit price of $13.56, plus a transportation and freight charge of $5.99, totaling $19.55. The order is made under Contract 615-C1, with a term contract type and a delivery timeframe of 3 days after receipt of order (ARO), specifically set for delivery by 11/21/2025. The item will be purchased from Fellowes, with the NIGP Code 64561 and Commodity Code 2614446. The State of Texas is exempt from federal excise taxes, and the purchase is made under a state and city sales tax exemption certificate.
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Text version
Purchase Order PO No. 26026765
Order Date: 11/18/2025
Internal Tracking No.: HHSTX-6-0000389933
Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702
Health and Human Services Commission 4601 Guadalupe St Austin TX 78751
Angel Rivera1111 W NORTH LOOP, Austin, TX 78756
NOTE TO CONTRACTOR: PO#: HHSTX-6-0000389933
AGENCY CONTACT:
Angel Rivera Angel.Rivera@hhs.texas.gov
AP Email: HHSC_AP@hhsc.state.tx.us
HHSC BUYER:
Chelsea Stefek Chelsea.Stefek@hhs.texas.gov
DELIVERY:
1111 W North Loop Austin TX 78756
Invoice per 34 TAC §20.487, amended effective May 1, 2022
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
Chelsea Stefek chelsea.stefek@hhs.texas.gov (512) 000-0000
Purchase Order PO No. 26026765
Order Date: 11/18/2025
Internal Tracking No.: HHSTX-6-0000389933
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 64561 2614446 Fellowes Memory Foam Mouse Pad/Wrist Rest Combo, Non-Skid Base, Black (Fel9176501) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/21/2025
MPN: 2614446-1855753
Manufacturer Name: FELLOWES
1 EACH 13.56 $13.56
2 64561 2614446 Transportation and Freight Charge 1 EACH 5.99 $5.99
Total $19.55
File details come from the government source that posted it. Updated .