26027465-0.pdf

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Attached to
Term TX|615-C1|10433908166|26027465
Contract number
26027465
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26027465) issued by the Texas Department of State Health Services on 11/21/2025, with Staples Contract & Commercial LLC as the contractor. The purchase order is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Debra Burns as the agency purchaser. The order will be shipped to Elaine Byrd at the Moreton Building in Austin, Texas.

The purchase order covers three office supply items under Contract 615-C1: 2 reams of 110 lb. Cardstock Paper from Domtar at $11.53 per ream, 10 packs of Gartner Studios Certificate Holders at $3.65 per pack, and 1 pack of Staples Plastic Clipboards from Worklife Brands at $3.79. The total order value is $63.35, with a 3-day delivery timeframe set for 11/24/2025. The order is tax-exempt under Texas Tax Code, Section 151.309(4), and is secured for the exclusive use of the State of Texas. The vendor is required to provide order confirmation and include the PO number on the packing list.

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Text version

Purchase Order PO No. 26027465

Order Date: 11/21/2025

Internal Tracking No.: 0000390523

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 Byrd,Elaine1111 W North Loop, Austin, TX 78756Moreton Bldg. 7th Floor, Ste. 765

NOTE TO CONTRACTOR: **PACKING LIST REQUIRED TO SHOW PO NUMBER 0000390523 AND ATTN CONTACT INFO ***

***ORDER CONFIRMATION REQUIRED FROM VENDOR***

SHIP TO ATTN Byrd,Elaine 512-776-6483 elaine.byrd@dshs.texas.gov Deliver to: Elaine Byrd, Moreton Bldg. 7th Floor, Ste. 765 ***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: 11/21/2025

Internal Tracking No.: 0000390523

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 64531 490887 Staples 110 Lb. Cardstock Paper, 8.5" X 11", White, 250 Sheets/Ream (49701) 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 ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Byrd,Ela ine 5 1 2 - 7 7 6 - 6 4 8 3 elaine.byrd@dshs.texas.gov Deliver to: Elaine Byrd, Moreton Bldg.

7th Floor, Ste. 765

MPN: 49701

Manufacturer Name: DOMTAR

2 REAM 11.53 $23.06

2 08078 487917 Gartner Studios Certificate Holders, 8.5" X 11", Blue, 6/Pack (35005) 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 ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Byrd,Ela ine 5 1 2 - 7 7 6 - 6 4 8 3 elaine.byrd@dshs.texas.gov Deliver to: Elaine Byrd, Moreton Bldg.

7th Floor, Ste. 765

MPN: 35005

Manufacturer Name: GARTNER

STUDIOS

10 PACK 3.65 $36.50

Order Date: 11/21/2025

Internal Tracking No.: 0000390523

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

3 61525 329498 Staples Plastic Clipboards, Memo Size, Translucent Blue/Translucent Black, 2/Pack (21423) 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 ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Byrd,Ela ine 5 1 2 - 7 7 6 - 6 4 8 3 elaine.byrd@dshs.texas.gov Deliver to: Elaine Byrd, Moreton Bldg.

7th Floor, Ste. 765

MPN: 329498-1855753

Manufacturer Name: WORKLIFE

BRANDS

1 PACK 3.79 $3.79

Total $63.35

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