26146390-0.pdf

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Attached to
Term TX|615-C1|10433908166|26146390
Contract number
26146390
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26146390) issued by the Department of State Health Services, an agency of the State of Texas, to Staples Contract & Commercial LLC located in Framingham, MA. The purchase order is dated 1/5/2026 and has an internal tracking number of 0000392513. The order will be shipped to the Health & Human Services Commission Warehouse in Austin, TX, with specific delivery instructions and contact information provided.

The purchase order covers various office supply items including Staples Economy Rubber Bands, Staples Lead Refill, Staples Cubicle Clips, Fellowes Wire Partition Coat Hooks, Tops Steno Books, and Tops Royale Professional Notebooks. The items are purchased under Contract 615-C1, which is a term contract with a 3-day delivery window (ARO). The total order value is $336.55, with unit prices ranging from $2.47 to $20.84. The order specifies that a packing list is required showing the PO number and contact information, and invoices should be sent to specific email addresses. The State of Texas claims exemption from federal excise taxes and state sales taxes for this purchase.

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Text version

Purchase Order PO No. 26146390

Order Date: 1/5/2026

Internal Tracking No.: 0000392513

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

ATTN Rodriguez,Monica

HEALTH & HUMAN SERVICES COMMISSION

1111 W North Loop-WAREHOUSE

AUSTIN, TX 78756

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000392513 AND ATTN CONTACT INFO *** SHIP TO ATTN Rodriguez,Monica 512-540-1597 Monica.Rodriguez5@dshs.texas.gov Laura Ryon 512-776-7770 Laura.Ryon@dshs.texas.gov Rashi Gangwal 512-438-2141 Rashika.Gangwal@dshs.texas.gov Send invoices to invoices@dshs.texas.gov ; RLHO@dshs.texas.gov

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 -

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564

Order Date: 1/5/2026

Internal Tracking No.: 0000392513

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61575 143297 Staples Economy Rubber Bands, 64, 1/4 Lb. Bag, 95/Pack (28611-Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/8/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rodriguez,Monica 5 1 2 - 5 4 0 - 1 5 9 7 Monica.Rodriguez5@dshs.texas.gov Laura Ryon 512-776-7770 Laura.Ryon@dshs.texas.gov Rashi Gangwal 512-438-2141 Rashika.Gangwal@dshs.texas.gov

MPN: 143297-1855753

Manufacturer Name: WORKLIFE

BRANDS

2 PACK 2.47 $4.94

2 65232 732834 Staples174; Lead Refill, 0.7Mm, 30/Leads, 3/Pack (10406-Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/8/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rodriguez,Monica 5 1 2 - 5 4 0 - 1 5 9 7 Monica.Rodriguez5@dshs.texas.gov Laura Ryon 512-776-7770 Laura.Ryon@dshs.texas.gov Rashi Gangwal 512-438-2141 Rashika.Gangwal@dshs.texas.gov

MPN: 732834-1855753

Manufacturer Name: WORKLIFE

BRANDS

5 PACK 2.62 $13.10

Order Date: 1/5/2026

Internal Tracking No.: 0000392513

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

3 68096 510399 Staples Cubicle Clips, White, 20/Box (33455) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/8/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rodriguez,Monica 5 1 2 - 5 4 0 - 1 5 9 7 Monica.Rodriguez5@dshs.texas.gov Laura Ryon 512-776-7770 Laura.Ryon@dshs.texas.gov Rashi Gangwal 512-438-2141 Rashika.Gangwal@dshs.texas.gov

MPN: 510399-1855753

Manufacturer Name: WORKLIFE

BRANDS

5 BOX 5.97 $29.85

4 61560 423889 Fellowes Wire Partition Additions Plastic Double Coat Hook, Black (75510) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/8/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rodriguez,Monica 5 1 2 - 5 4 0 - 1 5 9 7 Monica.Rodriguez5@dshs.texas.gov Laura Ryon 512-776-7770 Laura.Ryon@dshs.texas.gov Rashi Gangwal 512-438-2141 Rashika.Gangwal@dshs.texas.gov

MPN: 423889-1855753

Manufacturer Name: FELLOWES

10 EACH 20.84 $208.40

Order Date: 1/5/2026

Internal Tracking No.: 0000392513

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

5 78573 2655668 Tops Steno Book, 6" X 9", Gregg Ruled, 80 Sheets, Assorted Colors, 4 Per Pack (80221) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/8/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rodriguez,Monica 5 1 2 - 5 4 0 - 1 5 9 7 Monica.Rodriguez5@dshs.texas.gov Laura Ryon 512-776-7770 Laura.Ryon@dshs.texas.gov Rashi Gangwal 512-438-2141 Rashika.Gangwal@dshs.texas.gov

MPN: 2655668-1855753

Manufac turer Name: TOPS

BUSINESS FORMS

7 PACK 8.50 $59.50

6 78573 811159 Tops Royale Professional Notebooks, 8" X 10.5", College Ruled, 96 Sheets, Gray/Silver (25331) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/8/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rodriguez,Monica 5 1 2 - 5 4 0 - 1 5 9 7 Monica.Rodriguez5@dshs.texas.gov Laura Ryon 512-776-7770 Laura.Ryon@dshs.texas.gov Rashi Gangwal 512-438-2141 Rashika.Gangwal@dshs.texas.gov

MPN: 811159-1855753

Manufac turer Name: TOPS

BUSINESS FORMS

2 EACH 10.38 $20.76

Total $336.55

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