26156405-0.pdf

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Attached to
Term TX|615-C1|10433908166|26156405
Contract number
26156405
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 26156405) issued by the Texas Health & Human Services Commission (HHSC) on 1/8/2026, involving Staples Contract & Commercial LLC as the contractor. The purchase order is for delivery to Brendyn Gosselin at 2220 Forum Drive in Arlington, Texas, with Staples operating out of Framingham, Massachusetts.

The purchase order covers 48 rolls of 20" x 1000' Cast 80 Gauge Hand Film Stretch Wrap (item code 781369) from Worklife Brands, priced at $32.39 per roll for a total of $1,554.72. The order is under Contract 615-C1, classified as a Term contract, with a 3-day delivery after receipt (ARO) and a specific delivery date of 1/12/2026. The order includes specific invoicing instructions to REG03_RECEIVINGFLEET@HHSC.STATE.TX.US and requires 24-hour advance notification before delivery. The State of Texas claims tax exemption under Texas Tax Code, Section 151.309(4) for this purchase.

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Text version

Purchase Order PO No. 26156405

Order Date: 1/8/2026

Internal Tracking No.: PO# 392751

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

(888) 212-7219

801 S State Hwy 161 PO Box 532089 Grand Prairie TX 75051

Brendyn Gosselin 2220 Forum Drive Arlington, TX 76010 Brendyn.Gosselin@hhs.texas.gov

CALL 24 HRS PRIOR TO DELIVERY

972-337-6109 or 214-284-3893

NOTE TO CONTRACTOR: INVOICING: REG03_RECEIVINGFLEET@HHSC.STATE.TX.US

Include P.O. Number on Invoices, Packing Slips, Cartons, Packages, Bundles, etc.

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

Linda Rodriguez Linda.Rodriguez3@hhs.texas.gov (512) 406-2533

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 66583 781369 20" X 1000' Cast 80 Gauge Hand Film Stretch Wrap (31245) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/12/2026 N o t e s : I N V O I C I N G :

REG03_RECEIVINGFLEET@HHSC.S

TATE.TX.US

CALL 24 HRS PRIOR TO DELIVERY

972-337-6109 or 214-284-3893

MPN: 781369-1855753

Manufacturer Name: WORKLIFE

BRANDS

48 ROLL 32.39 $1,554.72

Total $1,554.72

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