26157943-0.pdf

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Attached to
Term TX|615-C1|10433908166|26157943
Contract number
26157943
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26157943) issued by the Texas Health & Human Services Commission (HHS) on 1/16/2026, with an internal tracking number of 0000393338. The purchase is being made through Staples Contract & Commercial LLC, located in Framingham, MA, under Contract 615-C1, with delivery to the Brenham and Richmond State Supported Living Centers (SSLC) in Texas.

The purchase order includes various office supplies from different manufacturers, such as Pentel, Velcro USA Inc, and Worklife Brands. The items ordered are: 6 Pentel Clic Erasers ($0.85 each), 1 Velcro 3/4" Sticky Back Hook Loop Fastener Dots (Beige), 1 Velcro 3/4" x 15' Sticky Back Hook Loop Fastener Roll (Black), 1 Velcro 3/4" x 15' Sticky Back Hook Loop Fastener Roll (White), 2 Staples File Folders, 2 Staples Recycled File Folders, and 2 Staples Reinforced File Folders. The total order amount is $199.45, with a specified delivery date of 1/19/2026 and a 3-day after receipt (ARO) delivery requirement. The order is part of a term contract and includes specific instructions for packing lists and order confirmation.

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Purchase Order PO No. 26157943

Order Date: 1/16/2026

Internal Tracking No.: 0000393338

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

ATTN Diana Dockal Richmond SSLC Whse 2100 Preston Richmond, TX 77469 2100 Preston Richmond TX 77469

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000393338 AND ATTN CONTACT INFO ***

***ORDER CONFIRMATION REQUIRED FROM VENDOR***

SHIP TO ATTN Diana Dockal 281-344-4427 diana.dockal@hhs.texas.gov RSSLC CTCM Ana Kruse 281-344-4648 Ana.kruse@hhs.texas.gov ***SEND INVOICE TO 712Accounting@hhs.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

Health & Human Services Commission - 529

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

Order Date: 1/16/2026

Internal Tracking No.: 0000393338

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61529 500504 Pentel174; Clic Eraser174; Stick, Blue Barrel, Each (Ze22C/Ze21C) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/19/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Diana Dockal 2 8 1 - 3 4 4 - 4 4 2 7 diana.dockal@hhs.texas.gov R S S L C C T C M A n a K r u s e 2 8 1 - 3 4 4 - 4 6 4 8 Ana.kruse@hhs.texas.gov B L D G / F L O O R / C U B I C L E :

ADMINISTRATION BLDG, 501/RM

MPN: 500504-1855753

Manufacturer Name: PENTEL OF

AMERICA LTD

6 EACH 0.85 $5.10

2 61589 488537 Velcro174; Brand 3/4" Sticky Back Hook Loop Fastener Dots, Beige, 200/Pack (90140) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/19/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Diana Dockal 2 8 1 - 3 4 4 - 4 4 2 7 diana.dockal@hhs.texas.gov R S S L C C T C M A n a K r u s e 2 8 1 - 3 4 4 - 4 6 4 8 Ana.kruse@hhs.texas.gov B L D G / F L O O R / C U B I C L E :

ADMINISTRATION BLDG, 501/RM

MPN: 488537-1855753

Manufacturer Name: VELCRO USA

INC

1 ROLL 16.17 $16.17

Order Date: 1/16/2026

Internal Tracking No.: 0000393338

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

3 61589 613240 Velcro174; Brand 3/4" X 15' Sticky Back Hook Loop Fastener Roll, Black (90081) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/19/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Diana Dockal 2 8 1 - 3 4 4 - 4 4 2 7 diana.dockal@hhs.texas.gov R S S L C C T C M A n a K r u s e 2 8 1 - 3 4 4 - 4 6 4 8 Ana.kruse@hhs.texas.gov B L D G / F L O O R / C U B I C L E :

ADMINISTRATION BLDG, 501/RM

MPN: 613240-1855753

Manufacturer Name: VELCRO USA

INC

1 EACH 16.17 $16.17

4 61589 613216 Velcro174; Brand 3/4" X 15' Sticky Back Hook Loop Fastener Roll, White (90082) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/19/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Diana Dockal 2 8 1 - 3 4 4 - 4 4 2 7 diana.dockal@hhs.texas.gov R S S L C C T C M A n a K r u s e 2 8 1 - 3 4 4 - 4 6 4 8 Ana.kruse@hhs.texas.gov B L D G / F L O O R / C U B I C L E :

ADMINISTRATION BLDG, 501/RM

MPN: 613216-1855753

Manufacturer Name: VELCRO USA

INC

1 EACH 16.17 $16.17

Order Date: 1/16/2026

Internal Tracking No.: 0000393338

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

5 61545 875429 Staples File Folder, 1/3 Cut, Letter Size, Assorted Colors, 100/Box (Tr) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/19/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Diana Dockal 2 8 1 - 3 4 4 - 4 4 2 7 diana.dockal@hhs.texas.gov R S S L C C T C M A n a K r u s e 2 8 1 - 3 4 4 - 4 6 4 8 Ana.kruse@hhs.texas.gov B L D G / F L O O R / C U B I C L E :

ADMINISTRATION BLDG, 501/RM

MPN: 875429-1855753

Manufacturer Name: WORKLIFE

BRANDS

2 BOX 18.93 $37.86

6 61545 508804 Staples174; Recycled File Folder, 1/3-Cut Tab, Letter Size, Assorted Colors, 100/Box (St-Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/19/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Diana Dockal 2 8 1 - 3 4 4 - 4 4 2 7 diana.dockal@hhs.texas.gov R S S L C C T C M A n a K r u s e 2 8 1 - 3 4 4 - 4 6 4 8 Ana.kruse@hhs.texas.gov B L D G / F L O O R / C U B I C L E :

ADMINISTRATION BLDG, 501/RM

MPN: 508804-1855753

Manufacturer Name: WORKLIFE

BRANDS

2 BOX 27.74 $55.48

Order Date: 1/16/2026

Internal Tracking No.: 0000393338

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

7 61545 508994 Staples Reinforced File Folder, 1/3 Cut, Letter Size, Assorted Colors, 100/Box (Tr) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/19/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Diana Dockal 2 8 1 - 3 4 4 - 4 4 2 7 diana.dockal@hhs.texas.gov R S S L C C T C M A n a K r u s e 2 8 1 - 3 4 4 - 4 6 4 8 Ana.kruse@hhs.texas.gov B L D G / F L O O R / C U B I C L E :

ADMINISTRATION BLDG, 501/RM

MPN: 508994-1855753

Manufacturer Name: WORKLIFE

BRANDS

2 BOX 26.25 $52.50

Total $199.45

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