26028143-0.pdf

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Attached to
Term TX|615-C1|10433908166|26028143
Contract number
26028143
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 26028143) issued by the Texas Health and Human Services Commission (HHSC) on 12/1/2025, with Staples Contract & Commercial LLC as the contractor. The purchase order is for the DSHS (Department of State Health Services) located in Terrell, TX, and will be shipped to Abigail Horton at the Terrell SH Warehouse. The order is being processed under Contract 615-C1, which appears to be a term contract, with Lindsey De La Rosa serving as the HHSC buyer.

The purchase order includes seven line items of office supplies totaling $425.83, to be delivered by 12/4/2025 with a 3-day after receipt (ARO) delivery timeline. Items include a Tru Red Magnetic Porcelain Dry Erase Board (4' x 3') for $190.26, a Staples Standard Durable Cork Bulletin Board for $74.01, Avery Self-Adhesive Plastic Reinforcement Labels, Cosco Accu-Stamp 2 Pre-Inked Stamps, Bostitch Magnetic Push Staple Removers, Staples Magnetic Bulldog Clips, and Sharpie King Size Permanent Markers. 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.

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Text version

Purchase Order PO No. 26028143

Order Date: 12/1/2025

Internal Tracking No.: 0000390803

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

DSHS

1200 E Brin Terrell TX 75160

Abigail Horton Terrell SH Whse 1200 E Brin

TERRELL, TX 75160

NOTE TO CONTRACTOR: PO#: 0000390803

AGENCY CONTACT/SHIP ATTN:

Abigail Horton 972-551-8817 Abigail.Horton@hhs.texas.gov

HHSC BUYER:

Lindsey De La Rosa, CTCD, CTCM lindsey.delarosa@hhs.texas.gov

AP Email: HHSCTSHACCOUNTING@HHS.TEXAS.GOV

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: 12/1/2025

Internal Tracking No.: 0000390803

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61533 24534068 Tru Red Magnetic Porcelain Dry Erase Board, Gunmetal Frame, 4' X 3' (Tr61185) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/4/2025

MPN: 24534068-1855753

Manufacturer Name: WORKLIFE

BRANDS

1 EACH 190.26 $190.26

2 78525 1682316 Staples Standard Durable Cork Bulletin Board, Oak Frame, 3'W X 2'H (28336-Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/4/2025

MPN: 1682316-1855753

Manufacturer Name: WORKLIFE

BRANDS

1 EACH 74.01 $74.01

3 61539 387717 Avery Self-Adhesive Plastic Reinforcement Labels In Dispenser, 1/4" Diameter, Glossy Clear, 1000/Pack (5722) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/4/2025

MPN: 387717-1855753

Manufacturer Name: AVERY

PRODUCTS CORPORATION

10 PACK 3.23 $32.30

4 61577 2622595 Cosco Accu-Stamp 2 Pre-Inked S t a m p , " C o py " , R e d I n k (Cos035594) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/4/2025

MPN: 2622595-1855753

Manufacturer Name: COSCO IND.

INC.

10 EACH 6.94 $69.40

Order Date: 12/1/2025

Internal Tracking No.: 0000390803

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

5 60582 471544 Bostitch Professional Magnetic Push Staple Remover, Black (40000M-Blk) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/4/2025

MPN: 471544-1855753

Manufacturer Name: AMAX INC

10 EACH 3.10 $31.00

6 61569 814122 Staples Magnetic Bulldog Clips, 1.25"W, Metallic, 18/Pack (17694) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/4/2025

MPN: 814122-1855753

Manufacturer Name: WORKLIFE

BRANDS

2 PACK 9.45 $18.90

7 62090 282509 Sharpie King Size Permanent Markers, Chisel Tip, Black, 4/Pack (15661) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/4/2025

MPN: 282509-1855753

Manufacturer Name: SANFORD

CORP

2 PACK 4.98 $9.96

Total $425.83

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