26209341-0.pdf

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Attached to
Term TX|615-C1|10433908166|26209341
Contract number
26209341
Issued by
Texas

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Purchase Order Summary

This is a Purchase Order (PO No. 26209341) issued by the State of Texas, Department of State Health Services (Agency 537), to Staples Contract & Commercial LLC for office supplies. The order was placed on February 9, 2026, with the purchaser identified as Debra Burns of the Texas Comptroller of Public Accounts – Statewide Procurement Division. The shipment is directed to Timothy Corcoran at the Laboratory L-114 facility in Austin, Texas, with Paloma De La Paz identified as the requester. The contract falls under the State of Texas tax exemption provisions, and Staples Contract & Commercial LLC is located in Framingham, Massachusetts.

The purchase order specifies two items: 4 dozen Pilot Better Retractable Ballpoint Pens in Fine Point Blue Ink (PIL30001) and 4 dozen Pilot Better Retractable Ballpoint Pens in Fine Point Black Ink (PIL30000), each priced at $14.80 per dozen for an extended price of $59.20 per line item. The total order value is $118.40. Both items are sourced under Contract 615-C1, a term contract with Essendant (manufacturer), with an Accounts Receivable Order (ARO) delivery window of 3 days and an expected delivery date of February 12, 2026. The packing list is required to display the PO number and attention contact information.

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Text version

Purchase Order PO No. 26209341

Order Date: 2/9/2026

Internal Tracking No.: 0000394899

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: Timothy Corcoran

1100 W 49TH ST

Laboratory L114 FLOOR: 2nd

AUSTIN, TX 78756-3101

Building: Laboratory L-114 Floor: 5th, Room L-555

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000394899 AND ATTN CONTACT INFO *** Ship to Attn: Timothy Corcoran 512-776-7581 Timothy.Corcoran@dshs.texas.gov REQUESTER Paloma De La Paz 512-776-6648 paloma.delapaz@dshs.texas.gov Building: Laboratory L-114 Floor: 5th, Room L-555 ***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. 26209341

Order Date: 2/9/2026

Internal Tracking No.: 0000394899

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62080 PIL30001 Pilot Better Retractable Ballpoint Pens, Fine Point, Blue Ink, Dozen (30001) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 2/12/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

Ship to Attn: Timothy Corcoran 5 1 2 - 7 7 6 - 7 5 8 1 Timothy.Corcoran@dshs.texas.gov REQUESTER Paloma De La Paz 5 1 2 - 7 7 6 - 6 6 4 8 paloma.delapaz@dshs.texas.gov Building: Laboratory L-114 Floor: 5th, Room L-555

MPN: PIL-30001

Manufacturer Name: Essendant

4 DOZ 14.80 $59.20

2 62080 PIL30000 Pilot Better Retractable Ballpoint Pens, Fine Point, Black Ink, Dozen (30000) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 2/12/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

Ship to Attn: Timothy Corcoran 5 1 2 - 7 7 6 - 7 5 8 1 Timothy.Corcoran@dshs.texas.gov REQUESTER Paloma De La Paz 5 1 2 - 7 7 6 - 6 6 4 8 paloma.delapaz@dshs.texas.gov Building: Laboratory L-114 Floor: 5th, Room L-555

MPN: PIL-30000

Manufacturer Name: Essendant

4 DOZ 14.80 $59.20

Total $118.40

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