26028613-0.pdf

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Attached to
Term TX|615-C1|10433908166|26028613
Contract number
26028613
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 26028613) issued by the Texas Health & Human Services Commission (HHSC) on 12/3/2025, with an internal tracking number of 0000391059. The purchase order is with Staples Contract & Commercial LLC, located in Framingham, MA, under contract 615-C1. The primary contacts include Lindsey De La Rosa (HHSC Buyer), Margaret Moreno (Agency Contact), and Amanda Sadovsky (Delivery Contact), all associated with the San Antonio, Texas location.

The purchase order covers two office supply items: 20 packs of Geographics Certificate Holders (Navy Blue, 8.5" x 11", 6/Pack) at $10.56 per pack, totaling $211.20, and 3 sets of Avery Big Tab Insertable Paper Dividers (8 Tabs, White) at $1.82 per set, totaling $5.46. The total order value is $216.66. The items are from Essendant, with a term contract and a delivery timeframe of 3 days after receipt of order (ARO), with a specified delivery date of 12/8/2025. The order is tax-exempt under Texas Tax Code, Section 151.309(4), and is for the exclusive use of the State of Texas.

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Text version

Purchase Order PO No. 26028613

Order Date: 12/3/2025

Internal Tracking No.: 0000391059

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

(888) 212-7219

San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223

Amanda Sadovsky 5900 S Presa St San Antonio, TX 78223

NOTE TO CONTRACTOR: PO#: 0000391059

AGENCY CONTACT/SHIP ATTN:

Margaret Moreno margaret.moreno@hhs.texas.gov 210-531-7718

Delivery: Amanda Sadovsky 210-531-8148 Amanda.sadovsky@hhs.texas.gov Bldg 817 2nd Floor Rm 2005F

HHSC BUYER:

Lindsey De La Rosa lindsey.delarosa@hhs.texas.gov

AP Email: SAHACCOUNTING@dshs.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

Purchase Order PO No. 26028613

Order Date: 12/3/2025

Internal Tracking No.: 0000391059

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61531 GEO45332 Geographics Certificate Holders, 8.5" X 11", Navy Blue, 6/Pack () Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: GEO-45332

Manufacturer Name: Essendant

20 PACK 10.56 $211.20

2 61539 AVE11222 Avery Big Tab Insertable Paper Dividers, 8 Tabs, White (11222) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: AVE-11222

Manufacturer Name: Essendant

3 SET 1.82 $5.46

Total $216.66

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