26028536-0.pdf

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Attached to
Term TX|615-C1|10433908166|26028536
Contract number
26028536
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26028536) issued by the Texas Health & Human Services Commission on December 3, 2025, through the Texas Comptroller of Public Accounts' Statewide Procurement Division. The purchase order is with Staples Contract & Commercial LLC, located in Framingham, Massachusetts, under Contract 615-C1. The goods will be delivered to Thomas Chavez at the Brenham SSLC (State Supported Living Center) in Brenham, Texas.

The purchase order comprises 15 line items of office supplies totaling $314.68, including notepads, Post-It notes, binders, pens, markers, highlighters, memo books, and steno pads from various manufacturers such as Worklife Brands, 3M Corporation, Zebra Pen Corporation, Avery Products Corporation, Sanford Corporation, and BIC Corporation. All items are under a term contract with a 3-day delivery window, set to be delivered by December 8, 2025. The order is tax-exempt under Texas Tax Code, Section 151.309(4), as the items are being purchased for exclusive use by the State of Texas.

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Text version

Purchase Order PO No. 26028536

Order Date: 12/3/2025

Internal Tracking No.: 0000390438

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

(888) 212-7219

Brenham SSLC 4001 Highway 36 South Brenham TX 77833

Thomas Chavez 4301 N Lamar Blvd Austin, TX 78751

NOTE TO CONTRACTOR: **PLEASE HAVE VENDORS SEND INVOICES VIA EMAIL TO 712Accounting@hhs.texas.gov **

Ship to: Thomas Chavez

Agency Contact:

Name: Thomas Chavez Phone: 512-571-1334 Email: Thomas.Chavez@hhs.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

Health & Human Services Commission - 529

Jocelynn Evans Jocelynn.Evans@hhs.texas.gov (512) 717-2524

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 78573 163865 Staples Notepads, 8.5" X 11.75", Wide Ruled, White, 50 Sheets/Pad, Dozen Pads/Pack (St57339) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: 163865-1855753

Manufacturer Name: WORKLIFE

BRANDS

1 DOZ 27.35 $27.35

Order Date: 12/3/2025

Internal Tracking No.: 0000390438

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 61562 2105804 Post-It174; Super Sticky Notes, 3" X 3" , Supernova Neons, 90 Sheets/Pad, 12 Pads/Pack (654-12Ssmia) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: 2105804-1855753

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

CORPORATION

2 PACK 8.80 $17.60

3 62080 508588 Zebra F-301 Retractable Ballpoint Pen, Fine Point, 0.7Mm, Black Ink, Dozen (Zeb27110) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: 508588-1855753

Manufacturer Name: ZEBRA PEN

CORPORATION

1 DOZ 13.81 $13.81

4 61509 24424065 Staples 1" 3-Ring View Binders, D- Ring, Light Blue (58655) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: 24424065-1855753

Manufacturer Name: AVERY

PRODUCTS CORPORATION

3 EACH 5.83 $17.49

5 61509 976038 Staples Heavy Duty 2" 3-Ring View Binder, D-Ring, Light Blue (St56287- Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: ST56287B/ST5628

Manufacturer Name: STAPLES

BRANDS GROUP

3 EACH 8.17 $24.51

Order Date: 12/3/2025

Internal Tracking No.: 0000390438

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

6 61509 24424060 Staples 1" 3-Ring View Binders, D- Ring, Yellow (58653) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: 24424060-1855753

Manufacturer Name: AVERY

PRODUCTS CORPORATION

3 EACH 5.83 $17.49

7 61541 2757021 Staples Plastic Accordion File, 13- Pocket, Coupon Size, Assorted Colors (Tr51828) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: 2757021-1855753

Manufacturer Name: WORKLIFE

BRANDS

15 EACH 2.84 $42.60

8 78573 199992 Staples174; Memo Books, 3" X 5", College Ruled, Assorted Colors, 75 Sheets/Pad, 5 Pads/Pack (Tr11493) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: 199992-1855753

Manufacturer Name: WORKLIFE

BRANDS

2 PACK 2.88 $5.76

9 78573 894739 Ampad Memo Books, 4" X 6", Narrow Ruled, Assorted Colors, 40 Sheets /Pad, 3 Pads /Pack (Amp45094) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: 894739-1855753

Manufac turer Name: TOPS

BUSINESS FORMS

4 PACK 3.27 $13.08

Order Date: 12/3/2025

Internal Tracking No.: 0000390438

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

10 78573 504390 Staples Steno Pads, 6" X 9", Graph Ruled, White, 80 Sheets/Pad, 6 Pads/Pack (St57352) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: 504390-1855753

Manufacturer Name: WORKLIFE

BRANDS

3 PACK 9.71 $29.13

11 62090 125369 Sharpie Permanent Marker, Fine Tip, Red, Dozen (30002) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: 125369-1855753

Manufacturer Name: SANFORD

CORP

2 DOZ 8.25 $16.50

12 65212 710856 Sharpie Retractable Permanent Markers, Ultra Fine Tip, Black, 12/Pack (1735790) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: 710856-1855753

Manufacturer Name: SANFORD

CORP

2 DOZ 17.12 $34.24

13 62090 563076 Sharpie Retractable Permanent Markers, Fine Tip, Black, 12/Pack (32701) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: 563076-1855753

Manufacturer Name: SANFORD

CORP

2 DOZ 17.26 $34.52

14 62090 125328 Sharpie Permanent Marker, Fine Tip, Black, Dozen (30001) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: 125328-1855753

Manufacturer Name: SANFORD

CORP

2 DOZ 8.25 $16.50

Order Date: 12/3/2025

Internal Tracking No.: 0000390438

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

15 62090 569975 Bic Brite Liner Tank Highlighter, Chisel Tip, Assorted, 4/Pack (32318) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: 569975-1855753

M a nu fa c t u r e r N a m e : B I C

CORPORATION

2 PACK 2.05 $4.10

Total $314.68

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