26063771-0.pdf

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Attached to
Term TX|615-C1|10433908166|26063771
Contract number
26063771
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26063771) issued by the Texas Health & Human Services Commission on 12/10/2025, with Staples Contract & Commercial LLC as the contractor. The order is specifically for the San Antonio and Rio Grande warehouse locations, with Rolando Saldivar as the agency contact. The purchase is being made under Contract 615-C1, which appears to be a term contract with Staples.

The purchase order includes three line items: 1 box of Staples Heavyweight Clasp Moistenable Glue Catalog Envelopes (10"L X 13"H, Manila) at $30.85, 1 pack of Scotch Permanent Double Sided Tape with Refillable Dispenser at $3.71, and 2 packs of Staples File Folders (1/3-Cut Tab, Letter Size, Manila) at $20.64, for a total order value of $55.20. The items are from Worklife Brands and 3M Corporation, with a delivery date of 12/15/2025 and a 3-day after receipt (ARO) delivery timeline. The State of Texas is exempt from federal excise taxes, and the purchase is secured under a state tax exemption certificate.

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Text version

Purchase Order PO No. 26063771

Order Date: 12/10/2025

Internal Tracking No.: 0000391552

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

Rolando Saldivar Rio Grande SH Whse 1401 S. Rangerville Rd Harlingen, TX 78552

NOTE TO CONTRACTOR: PO#: 0000391552

AGENCY CONTACT/SHIP ATTN:

Rolando Saldivar 956-364-8478 rolando.saldivar@hhs.texas.gov

BUILDING: Bldg. 508 Warehouse Deliveries will be accepted Monday-Friday 8am-12pm, 1pm-5:00pm

HHS PURCHASER:

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. 26063771

Order Date: 12/10/2025

Internal Tracking No.: 0000391552

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 31006 122069 Staples Heavyweight Clasp Moistenable Glue Catalog Envelopes, 10"L X 13"H, Manila, 100/Box (/14207) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/15/2025

MPN: 122069-1855753

Manufacturer Name: WORKLIFE

BRANDS

1 BOX 30.85 $30.85

2 61588 649280 Scotch Permanent Double Sided Tape W/Refillable Dispenser, 1/2" X 7 Yds., 1" Core, 3-Pack (3136) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/15/2025

MPN: 649280-1855753

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

CORPORATION

1 PACK 3.71 $3.71

3 61545 24609238 Staples File Folder, 1/3-Cut Tab, Letter Size, Manilla, 100/Pack (St62727) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/15/2025

MPN: ST62727

Manufacturer Name: Worklife Brands

2 PACK 10.32 $20.64

Total $55.20

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