26215721-0.pdf

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Attached to
TX|615-C1|26215721
Contract number
26215721
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26215721) issued by the State of Texas Health & Human Services Commission on March 20, 2026, to Staples Contract & Commercial LLC. The order is directed to the Brenham State Supported Living Center (SSLC) located in Brenham, Texas. The purchasing agency contact is Maricella Duran, with agency coordination managed by Tricia Zwahr at the Brenham facility. The order is processed under Contract 615-C1, classified as a term contract.

The purchase order specifies four line items for remanufactured toner cartridges manufactured by Clover Technologies Group, LLC, all compatible with HP 305A printers. The items include two units of magenta cartridges (STCE413A) at $90.30 per unit ($180.60 extended), two units of yellow cartridges (STCE412A) at $90.30 per unit ($180.60 extended), two units of cyan cartridges (STCE411A) at $90.30 per unit ($180.60 extended), and four units of black cartridges (STCE410A) at $63.40 per unit ($253.60 extended). The total order value is $795.40 with a delivery date of March 23, 2026 (three days after order placement). The State of Texas claims exemption from state and city sales taxes under Texas Tax Code Section 151.309(4).

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Text version

Purchase Order PO No. 26215721

Order Date: 3/20/2026

Internal Tracking No.: 0000397731

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

(888) 212-7219

Brenham SSLC 4001 Highway 36 South Brenham TX 77833

Tricia Zwahr 4001 Highway 36 South Brenham, TX 77833 Email: patricia.zwahr@hhs.texas.gov

NOTE TO CONTRACTOR: AGENCY CONTACT:

Name: Tricia Zwahr Phone: 979-277-1334 Email: patricia.zwahr@hhs.texas.gov

AP Email: 712Accounting@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

Maricella Duran maricella.duran@hhs.texas.gov (512) 000-0000

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 20772 1004303 Staples Remanufactured Magenta Standard Yield Toner Cartridge Replacement for HP 305A

(TRCE413A/STCE413A)

Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 3/23/2026

MPN: STCE413A

Manufacturer Name: CLOVER

TECHNOLOGIES GROUP, LLC

2 EACH 90.30 $180.60

Purchase Order PO No. 26215721

Order Date: 3/20/2026

Internal Tracking No.: 0000397731

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 20772 1004304 Staples Remanufactured Yellow Standard Yield Toner Cartridge Replacement for HP 305A

(TRCE412A/STCE412A)

Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 3/23/2026

MPN: STCE412A

Manufacturer Name: CLOVER

TECHNOLOGIES GROUP, LLC

2 EACH 90.30 $180.60

3 20772 1004305 Staples Remanufactured Cyan Standard Yield Toner Cartridge Replacement for HP 305A

(TRCE411A/STCE411A)

Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 3/23/2026

MPN: STCE411A

Manufacturer Name: CLOVER

TECHNOLOGIES GROUP, LLC

2 EACH 90.30 $180.60

4 20772 1004302 Staples Remanufactured Black Standard Yield Toner Cartridge Replacement for HP 305A

(TRCE410A/STCE410A)

Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 3/23/2026

MPN: STCE410A

Manufacturer Name: CLOVER

TECHNOLOGIES GROUP, LLC

4 EACH 63.40 $253.60

Total $795.40

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