26027480-0.pdf

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Attached to
Term TX|615-C1|10433908166|26027480
Contract number
26027480
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26027480) issued by the Department of State Health Services (DSHS), a Texas state agency, on 11/21/2025. The purchase is being made through Staples Contract & Commercial LLC, located in Framingham, MA, under contract 615-C1. The document involves the Texas Comptroller of Public Accounts' Statewide Procurement Division and is specifically tracked under Internal Tracking No. 0000390531.

The purchase order is for 25 Oxford 3-Prong Report Covers in Letter Size, Black (Manufacturer Part #55806), manufactured by ESSELTE AMERICA. The unit price is $1.17, totaling $29.25, with a term contract delivery timeframe of 3 days after receipt of order (ARO). The delivery date is set for 11/24/2025, with shipment directed to Leslie Stark at the DSHS Tower in Austin, TX. The State of Texas claims tax exemption under Texas Tax Code, Section 151.309(4), and the purchase is for the exclusive use of the state. Specific delivery and invoice instructions are provided, including requirements for a packing list and order confirmation from the vendor.

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Text version

Purchase Order PO No. 26027480

Order Date: 11/21/2025

Internal Tracking No.: 0000390531

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 Leslie Stark1111 W North Loop, Austin, TX 78756Contact Leslie Stark Tower, 6th floor, Suite T-605

NOTE TO CONTRACTOR: **PACKING LIST REQUIRED TO SHOW PO NUMBER 0000390531 AND ATTN CONTACT INFO ***

***ORDER CONFIRMATION REQUIRED FROM VENDOR***

SHIP TO ATTN Leslie Stark 512-776-2736 leslie.stark@dshs.texas.gov Contact Leslie Stark Tower, 6th floor, Suite T-605 ***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

Purchase Order PO No. 26027480

Order Date: 11/21/2025

Internal Tracking No.: 0000390531

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61543 898355 Oxford 3-Prong Report Cover, Letter Size, Black (Oxf 55806) 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 Lesl ie Stark 5 1 2 - 7 7 6 - 2 7 3 6 leslie.stark@dshs.texas.gov Contact Leslie Stark Tower, 6th floor, Suite T-605

MPN: 55806EE

Manufacturer Name: ESSELTE

AMERICA

25 EACH 1.17 $29.25

Total $29.25

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