26027359-0.pdf

PDF 25 KB Posted Nov 21, 2025

Attached to: Term TX|615-C1|10433908166|26027359
Contract number: 26027359
Issued by: Texas

About this file

Written by GovTribe AI · Nov 24, 2025

This document is a Purchase Order (PO No. 26027359) issued by the Department of State Health Services in Texas on 11/21/2025, 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 contact being Debra Burns and the requester being Gabriela Soto. The goods will be shipped to Rhoda Gilmore at the Immunization Tower in Austin, Texas.

The purchase order comprises 12 line items of office supplies, including dry erase markers, notebooks, file folders, pens, laptop risers, and tape, totaling $705.57. All items are purchased under Contract 615-C1, which is a term contract with a 3-day delivery after order (ARO) and a scheduled delivery date of 11/24/2025. The items are sourced from various manufacturers such as Sanford Corp, ACCO Brands, Worklife Brands, Fellowes, 3M Corporation, Tops Business Forms, and Uni-Ball Corporation. The order includes specific requirements that the packing list must show the PO number and contact information, and the State of Texas is exempt from federal excise taxes under this procurement.

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Purchase Order PO No. 26027359

Order Date: 11/21/2025

Internal Tracking No.: 0000390455

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 Rhoda Gilmore1111 W North Loop, Austin, TX 78756Immunization Tower, Room 310 Contact Rhoda Gilmore

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000390455 AND ATTN CONTACT INFO *** SHIP TO ATTN Rhoda Gilmore 737-270-0477 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabriela 512-648-7442 gabriela.soto@dshs.texas.gov **Send invoices 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

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62090 1015834 Expo Dry Erase Starter Set, Ultra Fine Tip, Assorted, 5/Set (1884310) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 7 3 7 - 2 7 0 - 0 4 7 7 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabr ie la 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov

MPN: 1015834-1855753

Manufacturer Name: SANFORD

CORP

3 SET 6.17 $18.51

Order Date: 11/21/2025

Internal Tracking No.: 0000390455

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 78576 958080 Five Star Wirebound Notebook, 1- Subject Notebook, 8.5" X 11", College Ruled, 100 Sheets, Black (72057) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 7 3 7 - 2 7 0 - 0 4 7 7 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabr ie la 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov

MPN: 958080-1855753

Manufacturer Name: ACCO BRANDS

52 EACH 4.53 $235.56

3 61545 659787 Staples File Folders, 1/3-Cut Tab, Letter Size, Blue, 24/Pack (St13842- Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 7 3 7 - 2 7 0 - 0 4 7 7 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabr ie la 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov

MPN: 659787-1855753

Manufacturer Name: WORKLIFE

BRANDS

2 PACK 4.50 $9.00

Order Date: 11/21/2025

Internal Tracking No.: 0000390455

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

4 61545 659790 Staples File Folders, 1/3-Cut Tab, Letter Size, Purple, 24/Pack (St13845-Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 7 3 7 - 2 7 0 - 0 4 7 7 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabr ie la 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov

MPN: 659790-1855753

Manufacturer Name: WORKLIFE

BRANDS

2 PACK 10.11 $20.22

5 61545 812796 Pendaflex Double Stuff 3-Tab File Folder, Letter Size, Multicolor, 50/Box (Ess54460) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 7 3 7 - 2 7 0 - 0 4 7 7 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabr ie la 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov

MPN: 812796-1855753

Manufac turer Name: TOPS

PRODUCTS LLC

1 BOX 17.38 $17.38

Order Date: 11/21/2025

Internal Tracking No.: 0000390455

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

6 62080 685682 Pilot G2 Retractable Gel Pens, Ultra Fine Point, Black Ink, Dozen (31277) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 7 3 7 - 2 7 0 - 0 4 7 7 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabr ie la 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov

MPN: 685682-1855753

Manufacturer Name: PILOT CORP

7 DOZ 10.42 $72.94

7 78543 735535 Fellowes Designer Suites Laptop Riser (8038401) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 7 3 7 - 2 7 0 - 0 4 7 7 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabr ie la 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov

MPN: 735535-1855753

Manufacturer Name: FELLOWES

3 EACH 32.94 $98.82

Order Date: 11/21/2025

Internal Tracking No.: 0000390455

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

8 61588 809556 Scotch Magic Invisible Tape Refill, 3/4" X 27.77 Yds., 24-Pack (810K24) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 7 3 7 - 2 7 0 - 0 4 7 7 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabr ie la 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov

MPN: 809556-1855753

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

CORPORATION

2 PACK 37.99 $75.98

9 69151 609928 Scotch Moving Storage Packing Tape With Dispenser, 1.88" X 38.2 Yds., Clear, 4/Pack (3650S-4Rd) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 7 3 7 - 2 7 0 - 0 4 7 7 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabr ie la 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov

MPN: 609928-1855753

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

CORPORATION

4 PACK 13.89 $55.56

Order Date: 11/21/2025

Internal Tracking No.: 0000390455

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

10 62090 1015831 Expo Dry Erase Markers, Ultra Fine Tip, Assorted, 8/Pack (1884309) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 7 3 7 - 2 7 0 - 0 4 7 7 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabr ie la 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov

MPN: 1015831-1855753

Manufacturer Name: SANFORD

CORP

4 PACK 6.21 $24.84

11 78573 811066 Tops Docket Gold Notepads, 8.5" X 11.75", White, 50 Sheets/Pad, Dozen (63960) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 7 3 7 - 2 7 0 - 0 4 7 7 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabr ie la 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov

MPN: 811066-1855753

Manufac turer Name: TOPS

BUSINESS FORMS

1 DOZ 49.56 $49.56

Order Date: 11/21/2025

Internal Tracking No.: 0000390455

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

12 68093 612883 Uniball 207 Retractable Gel Pens, Medium Point, 0.7Mm, Assorted Ink, 8 Pack (40110) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 11/24/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rhoda Gilmore 7 3 7 - 2 7 0 - 0 4 7 7 Rhoda.Gilmore@dshs.texas.gov REQUESTER Soto,Gabr ie la 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov

MPN: 612883-1855753

Manufacturer Name: UNI-BALL

CORPORATION

4 PACK 6.80 $27.20

Total $705.57

File details come from the government source that posted it. Updated Nov 24, 2025.