26027270-0.pdf

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Attached to
Term TX|615-C1|10433908166|26027270
Contract number
26027270
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26027270) issued by the Texas Health & Human Services Commission on 11/20/2025, with Staples Contract & Commercial LLC as the contractor. The purchase order involves the State of Texas, specifically the Health & Human Services Commission - Agency 529, with delivery to an address in El Paso, Texas. The contractor is based in Framingham, Massachusetts, and the order will be processed through the Texas Comptroller of Public Accounts - Statewide Procurement Division.

The purchase order is for 16 Ampad To-Do Notepads (5" X 8", Wide Ruled, Assorted Colors, 50 Sheets/Pad) manufactured by TOPS Business Forms, with a unit price of $1.33 and a total extended price of $21.28. The order is made under Contract 615-C1, which is a term contract, with a delivery timeframe of 3 days after receipt of the purchase order (ARO), specifically set for 11/24/2025. The order includes specific delivery instructions (8:00-11:30 AM and 1:00-4:30 PM, Monday-Friday), and invoices are to be sent to specific email addresses. The State of Texas claims exemption from federal excise taxes, and the purchase is made under the Texas Tax Code, Section 151.309(4), for exclusive state use.

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Text version

Purchase Order PO No. 26027270

Order Date: 11/20/2025

Internal Tracking No.: 0000390424

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

1100 W 49th Street Austin TX 78756

Nancy Clinton401 Franklin AveFranklin Bldg /2nd Floor/Suite 210, El Paso, TX 79901

NOTE TO CONTRACTOR: FREIGHT: F.O.B. Destination Freight Prepaid & Allowed DELIVERY: 5 Days After Receipt of PO Delivery hours are from 8:00-11:30 AM and 1:00-4:30 PM Monday - Friday except designated State Holidays

Please send invoices to Betty.Hernandez@dshs.texas.gov & cc Cynthia.Ortega@dshs.texas.gov*

Nancy Clinton

(915) 834-7677 nancy.clinton@dshs.texas.gov9

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

Madison Wilson madison.wilson.529@hhs.texas.gov (888) 479-7602

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 78573 368796 Ampad To-Do Notepad, 5" X 8", Wide Ruled, Assorted Colors, 50 Sheets/Pad (20-001) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025

MPN: 368796-1855753

Manufac turer Name: TOPS

BUSINESS FORMS

16 EACH 1.33 $21.28

Purchase Order PO No. 26027270

Order Date: 11/20/2025

Internal Tracking No.: 0000390424

Total $21.28

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