26158069-0.pdf

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Attached to
Term TX|615-C1|10433908166|26158069
Contract number
26158069
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26158069) issued by the Texas Health & Human Services Commission on January 16, 2026, involving Staples Contract & Commercial LLC as the contractor. The purchase order is for the San Angelo State Supported Living Center, with billing and shipping addresses in Austin and Carlsbad, Texas, respectively. The document includes details from the Texas Comptroller of Public Accounts and involves Debra Burns as the agency purchaser.

The purchase order is for a single line item: a Staples 46" x 60" Rectangular Hard Floor Chair Mat in Crystal Clear Vinyl, manufactured by ES Robbins Corp. The item is priced at $55.05, with a contract type noted as "Term" and a delivery time of 3 days after receipt of order (ARO), specifically scheduled for January 19, 2026. The order is made under Contract 615-C1, and includes specific delivery instructions to building #6433 at the San Angelo State Supported Living Center. The state claims tax exemption under Texas Tax Code, Section 151.309(4), and requires a packing list showing the PO number and order confirmation from the vendor.

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Text version

Purchase Order PO No. 26158069

Order Date: 1/16/2026

Internal Tracking No.: 0000393390

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

(888) 212-7219

Attn Accounts payable 4616-1 West Howard Lane Austin TX 78728

ATTN Block,Debbie San Angelo SSLC Whse 11640 US Hwy 87 N Carlsbad, TX 76934 Facility: San Angelo State Supported Living Center Warehouse: Please deliver to bldg. #6433

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000393390 AND ATTN CONTACT INFO ***

***ORDER CONFIRMATION REQUIRED FROM VENDOR***

SHIP TO ATTN Block,Debbie 325-465-2303 debbie.block@hhs.texas.gov ***SEND INVOICES VIA EMAIL TO 710Accounting@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

Purchase Order PO No. 26158069

Order Date: 1/16/2026

Internal Tracking No.: 0000393390

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61523 567295 Staples 46" X 60'' Rectangular Hard Floor Chair Mat, Crystal Clear Vinyl (20230-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 Block,Debbie 3 2 5 - 4 6 5 - 2 3 0 3 debbie.block@hhs.texas.gov Program SME Amber Laster 3 2 5 - 4 6 5 - 4 3 9 1 amber.laster@hhs.texas.gov Contract Manager Ida Montez 3 2 5 - 4 6 5 - 2 2 0 3 ida.montez@hhs.texas.gov Facility: San Angelo State Supported Living Center Warehouse: Please deliver to bldg.

#6433

MPN: 567295-1855753

Manufacturer Name: ES ROBBINS

CORP

1 EACH 55.05 $55.05

Total $55.05

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