26209207-0.pdf

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Attached to
Term TX|615-C1|10433908166|26209207
Contract number
26209207
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26209207) issued by the State of Texas Health & Human Services Commission (HHSC) to Staples Contract & Commercial LLC on February 6, 2026. The order was placed through the CAPPS (Cooperative Purchasing Program) system and involves delivery to a San Antonio location with final shipment to Kasarah Ramirez in Corpus Christi, Texas. The HHSC buyer is Oluwaseyi Omisore, with agency contact Kasarah Ramirez serving as the primary point of contact.

The purchase order covers three units of Xerox 106R03512 Black High Yield Toner Cartridges at a unit price of $178.22 each, for an extended total of $534.66. The items are sourced through Ingram Micro under Contract 615-C1 (a term contract) and are designated as a special order with an anticipated receipt of three days, with an expected delivery date of February 9, 2026. The State of Texas claims a sales tax exemption under Texas Tax Code Section 151.309(4) for this purchase of tangible personal property.

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Text version

Purchase Order PO No. 26209207

Order Date: 2/6/2026

Internal Tracking No.: 0000394827

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

(888) 212-7219

San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223

Kasarah Ramirez 902 Airport Rd Bldg 519 Corpus Christi, TX 78405

NOTE TO CONTRACTOR: CAPPS FIN PO#:0000394827

AGENCY CONTACT:

Kasarah Ramirez 361-844-7658 Kasarah.ramirez@hhs.texas.gov

AP Email: SAHAccounting@dshs.texas.gov

HHSC BUYER:

Oluwaseyi Omisore, CTCD, CTCM 512-776-4242 Oluwaseyi.Omisore@hhs.texas.gov

Invoice per 34 TAC §20.487, amended effective May 1, 2022

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

Oluwaseyi Omisore Oluwaseyi.Omisore@hhs.texas.gov (512) 706-4242

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 20772 IM18N4955 Xerox 106R03512 Black High Yield Toner Cartridge Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 2/9/2026

MPN: IM1-8N4955

Manufacturer Name: INGRAM MICRO

SPECIAL ORDER

3 EACH 178.22 $534.66

Purchase Order PO No. 26209207

Order Date: 2/6/2026

Internal Tracking No.: 0000394827

Total $534.66

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