26213966-0.pdf

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Attached to
Term TX|615-C1|10433908166|26213966
Contract number
26213966
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26213966) issued by the State of Texas Health and Human Services Commission (HHSC) to Staples Contract & Commercial LLC on March 12, 2026. The order is placed under Contract 615-C1, a term contract with Staples. The HHSC buyer is Oluwaseyi Omisore (CTCD, CTCM), and the agency contact is Derek Lewis. The order is being shipped to Derek Lewis at 1111 W North Loop, Austin, TX 78756, with billing directed to the HHSC office at 4601 Guadalupe Street, Austin, TX 78751.

The purchase order includes two line items: (1) 1 box of Avery Printable Laser/Inkjet Name Badge Insert Refills (2 1/4" x 3 1/2", white, 400 inserts per box, MPN 5390) at $16.41, and (2) 5 packs of Geographics Certificate Holders (8.5" x 11", navy blue, 6 per pack, MPN GEO-45332) at $10.56 per pack for a total of $52.80. Both items have an estimated delivery timeframe of 3 days, with a scheduled delivery date of March 16, 2026. The total order value is $69.21 and includes a state sales tax exemption certificate as the purchase is for exclusive use by the State of Texas.

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Text version

Purchase Order PO No. 26213966

Order Date: 3/12/2026

Internal Tracking No.: 0000397132

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

(888) 212-7219

Health and Human Services Commission 4601 Guadalupe St Austin TX 78751

Derek Lewis 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: CAPPS FIN PO#:0000397132

AGENCY CONTACT:

Derek Lewis 214-532-4214 Derek.Lewis1@hhs.texas.gov

AP Email: HHSC_AP@hhs.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

Purchase Order PO No. 26213966

Order Date: 3/12/2026

Internal Tracking No.: 0000397132

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 08010 404061 Avery Printable Laser/Inkjet Name Badge Insert Refills, 2 1/4" x 3 1/2", White, 400 Inserts Per Box (5390) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 3/16/2026

MPN: 5390

Manufacturer Name: Avery Products Corporation

1 BOX 16.41 $16.41

2 61531 GEO45332 Geographics Certificate Holders, 8.5" x 11", Navy Blue, 6/Pack

(GEO45332)

Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 3/16/2026

MPN: GEO-45332

Manufacturer Name: Essendant

5 PACK 10.56 $52.80

Total $69.21

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