26125937-0.pdf

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Attached to
Term TX|615-C1|10433908166|26125937
Contract number
26125937
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 26125937) issued by the Department of State Health Services (DSHS), a Texas state agency, on 12/30/2025. The purchase order is issued under Contract 615-C1 and is fulfilled by Staples Contract & Commercial LLC, located in Framingham, Massachusetts. The order will be shipped to a laboratory in Austin, Texas, specifically to Paloma DeLaPaz at 1100 W 49th ST.

The purchase order comprises three line items: 10 Epson T69 Black Standard Yield Ink Cartridges at $15.77 each (total $157.70), 4 Tru Red Stackable Wire Mesh Pen Holders in matte black at $5.42 each (total $21.68), and 1 pack of Command Large Hanging Strips (15 lb., white) at $3.39. The total order value is $182.77. The contract is a term contract with a delivery timeframe of 3 days after receipt (ARO), with a specific delivery date of 1/2/2026. The order is tax-exempt under Texas Tax Code, Section 151.309(4), as the items are being purchased for exclusive use by the State of Texas.

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Text version

Purchase Order PO No. 26125937

Order Date: 12/30/2025

Internal Tracking No.: 0000392284

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

(888) 212-7219

PO BOX 149347

Fiscal Division/Accounts Payable

AUSTIN TX 78714-9347

Paloma DeLaPaz

1100 W 49TH ST

Laboratory L114 FLOOR: 2nd

AUSTIN, TX 78756-3101

NOTE TO CONTRACTOR: Contact: Paloma DeLaPaz 512-776-6648 Paloma.DeLaPaz@dshs.texas.gov Contract: 615-C1

HHS REQ 320877

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 -

Sharonda Holton Sharonda.holton@hhs.texas.gov (512) 406-2464

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 57547 EPST069120S Epson T69 Black Standard Yield Ink Cartridge Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/2/2026

MPN: EPST069120-S

Manufacturer Name: Essendant

10 EACH 15.77 $157.70

Purchase Order PO No. 26125937

Order Date: 12/30/2025

Internal Tracking No.: 0000392284

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 61560 24402480 Tru Red Stackable Wire Mesh Pen Holder, Matte Black (Tr57575-Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/2/2026

MPN: TR57575-CC

Manufacturer Name: STAPLES

BRANDS GROUP

4 EACH 5.42 $21.68

3 61560 884356 Command Large Hanging Strips, 15 Lb., White, 4 Pairs/Pack (17206-Es) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/2/2026

MPN: 17206

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

CORPORATION

1 PACK 3.39 $3.39

Total $182.77

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