26159165-0.pdf

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Attached to
Term TX|615-C1|10433908166|26159165
Contract number
26159165
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26159165) issued by the State of Texas, Department of State Health Services (Agency 537), dated January 26, 2026. The order is placed with Staples Contract & Commercial LLC, a contractor based in Framingham, Massachusetts. The procuring agency purchaser is Debra Burns from the Texas Comptroller of Public Accounts – Statewide Procurement Division. The order is to be shipped to Virginia Flores at the Laboratory L-114, 6th Floor, Room L-641, located at 1100 W 49th Street in Austin, Texas, with billing directed to the Fiscal Division/Accounts Payable office in Austin.

The purchase order covers five units of Lexmark 55B1000 Black Standard Yield Toner Cartridges (Manufacturer Part Number 55B1000) at a unit price of $86.74 each, for a total order value of $433.70. The items are being procured under Contract 615-C1, identified as a term contract. The delivery is expected within 3 days of order acknowledgment, with a scheduled delivery date of January 29, 2026. The State of Texas claims an exemption from all federal excise taxes and state and city sales taxes under Texas Tax Code, Section 151.309(4). Specific requirements include the vendor providing order confirmation and ensuring the packing list displays the PO number and attention contact information.

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Text version

Purchase Order PO No. 26159165

Order Date: 1/26/2026

Internal Tracking No.: 0000393920

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 VIRGINIA FLORES

1100 W 49TH ST

Laboratory L114 FLOOR: 2nd

AUSTIN, TX 78756-3101

Laboratory L-114 Floor: 6th, Room L-641

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000393920 AND ATTN CONTACT INFO ***

***ORDER CONFIRMATION REQUIRED FROM VENDOR***

SHIP TO ATTN VIRGINIA FLORES 512-776-7587 virginia.flores@dshs.texas.gov REQUESTER De La Paz,Paloma 512-834-6738 paloma.delapaz@dshs.texas.gov ***ATTN DSHS CLAIMS: Send approval requests to LabAccounting@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

Purchase Order PO No. 26159165

Order Date: 1/26/2026

Internal Tracking No.: 0000393920

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 20772 24439779 Lexmark 55B1000 Black Standard Yield Toner Cartridge Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 1/29/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN VIRGINIA FLORES

5 1 2 - 7 7 6 - 7 5 8 7 virginia.flores@dshs.texas.gov REQUESTER De La Paz,Paloma 5 1 2 - 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov Building: Laboratory L-114 Floor: 6th, Room L-641

MPN: 55B1000

Manufacturer Name: LEXMARK

INTERNA

5 EACH 86.74 $433.70

Total $433.70

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