26073781-0.pdf

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Attached to
Term TX|615-C1|10433908166|26073781
Contract number
26073781
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26073781) issued by the Texas Health and Human Services Commission (HHSC), Agency 529, on 12/17/2025. The purchase order is with Staples Contract & Commercial LLC, located in Framingham, MA, under Contract 615-C1. The billing address is Brenham SSLC in Brenham, TX, and the shipping address is to Gabriele Dangerfield in Austin, TX.

The purchase order consists of two line items: 30 Staples Gel Non-Skid Mouse Pads with Wrist Rest (gray) at $7.62 each, totaling $228.60, and 3 Lexmark 501 Black High Yield Toner Cartridges at $168.81 each, totaling $506.43. The total purchase order value is $735.03. The contract is a term contract with a 3-day delivery after receipt (ARO) and a scheduled delivery date of 12/22/2025. The items are from manufacturers Worklife Brands and Lexmark International. The purchase is tax-exempt under Texas Tax Code, Section 151.309(4), for exclusive use by the State of Texas.

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Text version

Purchase Order PO No. 26073781

Order Date: 12/17/2025

Internal Tracking No.: HHSTX-6-0000391780

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

Gabriele Dangerfield 4301 N Lamar Blvd Austin, TX 78751

NOTE TO CONTRACTOR: Agency: 529-HHSC

Agency Contact: Gabriele Dangerfield, Gabriele.Dangerfield@hhs.texas.gov, 512-419-2663

Accounts Payable: 712Accounting@hhs.texas.gov, 512-438-4222

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

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 64561 24339944 Staples Gel Non-Skid Mouse Pad With Wrist Rest, Gray (79055) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/22/2025

MPN: 24339944-1855753

Manufacturer Name: WORKLIFE

BRANDS

30 EACH 7.62 $228.60

Purchase Order PO No. 26073781

Order Date: 12/17/2025

Internal Tracking No.: HHSTX-6-0000391780

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 20772 117468 Lexmark 501 Black High Yield Toner Cartridge (50F1H00) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/22/2025

MPN: 117468-1855753

Manufacturer Name: LEXMARK

INTERNATIONAL

3 EACH 168.81 $506.43

Total $735.03

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