26072367-0.pdf
PDF 14 KB Posted
- Attached to
- Term TX|615-C1|18621616889|26072367
- Contract number
- 26072367
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26072367) issued by the Texas Department of State Health Services (DSHS), Agency 537, on 12/17/2025. The purchasing agency is working with ODP Business Solutions, LLC, a contractor located in Boca Raton, Florida, with the order being processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division. The primary point of contact for this order is Ron Connell, and the shipping recipient is Felicia Poston in Austin, Texas.
The purchase order is for one carton of Adams 1098/1099 Tax Form Envelopes, manufactured by TOPS Business Forms, at a unit price of $63.41. The envelopes are white, gummed, 5 5/8 inches wide by 9 inches long, with 500 envelopes per carton. The order is made under Contract 615-C1, which is a term contract, with a quick delivery timeline of 2 days after receipt (ARO) and a specific delivery date of 12/19/2025. The State of Texas is exempt from federal excise taxes, and the purchase is secured under a tax exemption certificate for exclusive state use.
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Text version
Purchase Order PO No. 26072367
Order Date: 12/17/2025
Internal Tracking No.: HHSTX-6-0000391763
Contractor Info Bill To Ship To ODP Business Solutions, LLC 18621616889 6600 N. Military Trail Boca Raton, FL 33496
(832) 477-6118
PO BOX 149347
Fiscal Division/Accounts Payable
AUSTIN TX 78714-9347
Felicia Poston 1111 W North Loop Austin, TX 78756
NOTE TO CONTRACTOR: Agency: 537-DSHS
Agency Contact: Felicia Poston, Felicia.Poston@dshs.texas.gov, 512-776-2525
Accounts Payable: Invoices@dshs.texas.gov, 512-776-2525
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 -
Ron Connell Ron.Connell@hhs.texas.gov (830) 285-2032
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 31067 8662022 Adams 1098/1099 Tax Form Envelopes - Document - 5 5/8In Width X 9In Length - Gummed - 500 / Carton - White Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: 12/19/2025
MPN: B22222
Manufac turer Name: TOPS
BUSINESS FORMS
1 CRTN 63.41 $63.41
Total $63.41
File details come from the government source that posted it. Updated .