26042785-0.pdf

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Attached to
Term TX|615-C1|10433908166|26042785
Contract number
26042785
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26042785) issued by the Texas Department of State Health Services (DSHS), a state agency, on 12/5/2025. The contractor is Staples Contract & Commercial LLC, located in Framingham, MA, and the order is being shipped to the DSHS facility at 401 E Franklin Ave in El Paso, TX. The purchase is made under Contract 615-C1, which is a term contract, with the agency contact being Nancy Clinton and the purchaser being Shawn Giggey.

The purchase order is for HP 712 ink cartridges from Ingram Micro, consisting of 3 cyan cartridges (3-pack) at $66.64 each, 2 magenta cartridges (3-pack) at $66.64 each, 2 yellow cartridges at $30.29 each, and 2 black cartridges at $36.41 each. The total order value is $466.60, with a specified delivery date of 12/8/2025 and a 3-day delivery after receipt (ARO) timeframe. The order is a special order with a term contract, and the State of Texas is exempt from federal excise taxes under the stated tax code section.

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Text version

Purchase Order PO No. 26042785

Order Date: 12/5/2025

Internal Tracking No.: 0000391228

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

(888) 212-7219

1100 West 49th Street

MC: 3063

Austin TX 78756

DSHS-401 E FRANKLIN AVE

EL PASO, TX 79901-1206

NOTE TO CONTRACTOR: PO#: 0000391228

AGENCY CONTACT:

Name: Nancy Clinton Email: Nancy.clinton@dshs.texas.gov

AP Email: invoices@dshs.texas.gov Attn: Nancy Clinton

DELIVERY: Delivery hours M-F 0800-1130 and 1pm – 430pm, except holidays and weekends 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

Dept Of State Health Services -

Shawn Giggey Shawn.Giggey@hhs.texas.gov (512) 406-2565

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 57547 IM18DA235 Hp 712 Cyan Standard Yield Ink Cartridge, 3/Pack (3Ed77A) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: IM1-8DA235

Manufacturer Name: INGRAM MICRO

SPECIAL ORDER

3 EACH 66.64 $199.92

Purchase Order PO No. 26042785

Order Date: 12/5/2025

Internal Tracking No.: 0000391228

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 57547 IM18DA236 Hp 712 Magenta Standard Yield Ink Cartridge, 3/Pack (3Ed78A) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: IM1-8DA236

Manufacturer Name: INGRAM MICRO

SPECIAL ORDER

2 EACH 66.64 $133.28

3 57547 IM18DA232 Hp 712 Yellow Standard Yield Ink Cartridge, Prints Up To 100 Pages (3Ed69A) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: IM1-8DA232

Manufacturer Name: INGRAM MICRO

SPECIAL ORDER

2 EACH 30.29 $60.58

4 57547 IM18DA233 Hp 712 Black Standard Yield Ink Cartridge, Prints Up To 100 Pages (3Ed70A) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/8/2025

MPN: IM1-8DA233

Manufacturer Name: INGRAM MICRO

SPECIAL ORDER

2 EACH 36.41 $72.82

Total $466.60

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