26105177-0.pdf

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Attached to
Term TX|615-C1|10433908166|26105177
Contract number
26105177
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26105177) issued by the Texas Health and Human Services Commission (HHSC) on 12/19/2025, with Staples Contract & Commercial LLC serving as the contractor. The purchase order is processed through the Texas Comptroller of Public Accounts - Statewide Procurement Division, with Oluwaseyi Omisore as the agency purchaser and Shelia Adamson as the agency contact.

The purchase order covers three line items of office supplies under Contract 615-C1, which is a term contract: 100 units of Lee Sortkwik 1 Oz. Fingertip Moistener (pink) at $1.17 each, 40 boxes of Staples Heavyweight Clasp Moistenable Glue Catalog Envelopes (10"L x 13"H, Manila) at $30.85 per box, and 5 cartons of Quality Park 32-Lb. Kraft Clasp Envelopes (6"x9") at $167.36 per carton. The total purchase amount is $2,187.80, with a 3-day delivery after receipt (ARO) and a scheduled delivery date of 12/22/2025. The order is tax-exempt under Texas Tax Code, Section 151.309(4), and is secured for the exclusive use of the State of Texas.

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Text version

Purchase Order PO No. 26105177

Order Date: 12/19/2025

Internal Tracking No.: 0000392019

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

(888) 212-7219

350 Pine Street Flr 9 Beaumont TX 77701

SHELIA ADAMSON

1090 S 4th St Beaumont, TX 77701

NOTE TO CONTRACTOR: CAPPS FIN PO#:0000392019

AGENCY CONTACT:

SHELIA ADAMSON

409-291-6206

SHELIA.ADAMSON@HHS.TEXAS.GOV

AP Email: Reg05_Admin_Services@hhsc.state.tx.us

HHSC BUYER:

Oluwaseyi Omisore, CTCD, CTCM 512-776-4242 Oluwaseyi.Omisore@hhs.texas.gov

Invoice per 34 TAC §20.487, amended effective May 1, 2022

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

Oluwaseyi Omisore Oluwaseyi.Omisore@hhs.texas.gov (512) 706-4242

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 60546 371965 Lee Sortkwik 1 Oz. Fingertip Moistener, Pink (10400) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/22/2025

MPN: 371965-1855753

Manufacturer Name: LEE PRODUCTS

100 EACH 1.17 $117.00

Purchase Order PO No. 26105177

Order Date: 12/19/2025

Internal Tracking No.: 0000392019

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 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: 12/22/2025

MPN: 122069-1855753

Manufacturer Name: WORKLIFE

BRANDS

40 BOX 30.85 $1,234.00

3 20772 1578127 Quality Park 32-Lb. Kraft Clasp Envelopes, 6X9", 1000/Carton Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 12/22/2025

MPN: 37755CT

Manufacturer Name: ESSELTE

AMERICA

5 CRTN 167.36 $836.80

Total $2,187.80

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