26026853-0.pdf

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Attached to
Term TX|615-C1|10433908166|26026853
Contract number
26026853
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26026853) issued by the Texas Health & Human Services Commission (HHSC) on 11/19/2025, with Staples Contract & Commercial LLC as the contractor. The purchase order is processed through the Texas Comptroller of Public Accounts - Statewide Procurement Division, with Lindsey De-La-Rosa as the agency purchaser. The contractor will ship the goods to Alejandro Mendoza in Lubbock, TX, and the order is made under Contract 615-C1, which is a term contract.

The purchase order consists of six line items of office supplies, including plastic clipboards, index cards, report covers, sheet protectors, plastic dividers, and ink refills from manufacturers like Worklife Brands, Essendant, and Avery Products Corporation. The total order value is $1,472.75, with quantities ranging from 10 to 125 units per item. The contract specifies a 3-day delivery after receipt (ARO) with a delivery date of 11/24/2025. The State of Texas claims tax exemption under Texas Tax Code, Section 151.309(4), as the purchase is for exclusive state use. All items are procured under the same contract terms and have consistent delivery specifications.

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Text version

Purchase Order PO No. 26026853

Order Date: 11/19/2025

Internal Tracking No.: 0000390033

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

6302 Iola Ave Lubbock TX 79424

Alejandro Mendoza6302 Iola Ave, Lubbock, TX 79424

NOTE TO CONTRACTOR: PO#: 0000390033

AGENCY CONTACT:

Matthew Wheat matthew .wheat@hhs.texas.gov

SHIP ATTN:

Alejandro Mendoza Alejandro.Mendoza@hhs.texas.gov

HHSC BUYER:

Lindsey De La Rosa lindsey.delarosa@hhs.texas.gov

AP Email: Reg01_Admin_Services@hhsc.state.tx

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

Lindsey De-La-Rosa lindsey.delarosa@hhs.texas.gov (512) 294-3627

Order Date: 11/19/2025

Internal Tracking No.: 0000390033

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61525 121715 Staples Plastic Clipboard, Letter Size, Smoke (11069) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025

MPN: 121715-1855753

Manufacturer Name: WORKLIFE

BRANDS

50 EACH 3.74 $187.00

2 61535 296608 Staples 3" X 5" Index Cards, Narrow Ruled, White, 100/Pack (Tr50993) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025

MPN: 296608-1855753

Manufacturer Name: WORKLIFE

BRANDS

100 PACK 1.15 $115.00

3 61531 UNV56138 Universal Clear Front Report Covers With Dark Blue Back Cover, 25/Bx Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025

MPN: UNV-56138

Manufacturer Name: Essendant

10 BOX 30.05 $300.50

4 61539 878746 Avery Economy Weight Sheet Protectors, 8-1/2" X 11", Clear, 50/Box (74090) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025

MPN: 74090

Manufacturer Name: Avery Products Corporation

125 BOX 3.85 $481.25

5 68079 486148 Avery Big Tab Insertable Plastic Divider, 5 Tabs, Multicolor, 1 Set (11902) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025

MPN: 11902

Manufacturer Name: Avery Products Corporation

100 SET 1.87 $187.00

Order Date: 11/19/2025

Internal Tracking No.: 0000390033

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

6 61577 166793 Carter's Neat-Flo Ink Refill, Black Ink (21448) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025

MPN: 166793-1855753

Manufacturer Name: AVERY

PRODUCTS CORPORATION

100 EACH 2.02 $202.00

Total $1,472.75

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