26215662-0.pdf

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Attached to
TX|615-C1|26215662
Contract number
26215662
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26215662) issued by the State of Texas Health and Human Services Commission (HHSC), Agency 529, on March 20, 2026. The order is placed with Staples Contract & Commercial LLC, a vendor located in Framingham, Massachusetts. The purchasing agent is Ron Connell, and the order is being shipped to Tracy Rodriguez at 1111 W North Loop, Austin, Texas 78756. The internal tracking number is HHSTX-6-0000397870.

The purchase order is for 25 units of HP 62 Black Standard Yield Ink Cartridges (Model C2P04An#140) at a unit price of $17.65 each, resulting in an extended price of $441.25. The cartridges are sourced under Contract 615-C1, a term contract, with a delivery timeframe of 3 days from the order date, scheduled for March 23, 2026. The State of Texas claims a sales tax exemption on this purchase under Texas Tax Code Section 151.309(4). Invoicing must be submitted per 34 TAC §20.487, amended effective May 1, 2022, and should be directed to HHSC_AP@hhsc.state.tx.us.

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Text version

Purchase Order PO No. 26215662

Order Date: 3/20/2026

Internal Tracking No.: HHSTX-6-0000397870

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

Tracy Rodriguez 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: Agency: 529-HHSC

Agency Contact: Tracy Rodriguez, Tracy.Rodriguez@hhs.texas.gov, 512-536-0404

Accounts Payable: HHSC_AP@hhsc.state.tx.us, 512-438-4222

Invoice per 34 TAC §20.487, amended effective 5-1-22

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

Ron Connell Ron.Connell@hhs.texas.gov (830) 285-2032

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 57547 1182804 Hp 62 Black Standard Yield Ink Cartridge (C2P04An#140), Print Up To 200 Pages Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 3/23/2026

MPN: 1182804-1855753

Manufacturer Name: HP INC.

25 EACH 17.65 $441.25

Total $441.25

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