26216324-0.pdf

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Attached to
TX|615-C1|26216324
Contract number
26216324
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26216324) issued by the State of Texas, Department of State Health Services (DSHS), on March 20, 2026, to ODP Business Solutions, LLC, a contractor based in Boca Raton, Florida. The order is being billed to and shipped to DSHS facilities in Austin and Arlington, Texas, respectively. The purchase was processed through the Texas Comptroller of Public Accounts – Statewide Procurement Division, with Lindsey De La Rosa serving as the HHS Purchaser and Samuel Savala as the agency contact. The State of Texas is exempt from federal excise taxes and sales taxes for this procurement under Texas Tax Code Section 151.309(4).

The purchase order includes three line items totaling $582.68, all sourced under Contract 615-C1 (a term contract). The items consist of office supplies and printer cartridges: four packs of HP 62XL/62 High-Yield Black and Tri-Color Ink Cartridges (MPN: N9H67FN) at $57.70 each ($230.80 total); three packs of HP 962XL/962 High-Yield Black, Cyan, Magenta, and Yellow Ink Cartridges (MPN: 3JB34AN#140) at $94.82 each ($284.46 total); and two Oxford Decoflex Letter Size Black File Holders (MPN: 23013) at $33.71 each ($67.42 total). All items are scheduled for delivery within two days of the order date, with a delivery date of March 23, 2026.

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Text version

Purchase Order PO No. 26216324

Order Date: 3/20/2026

Internal Tracking No.: 0000397918

Contractor Info Bill To Ship To ODP Business Solutions, LLC 18621616889 6600 N. Military Trail Boca Raton, FL 33496

(832) 477-6118

1100 West 49th Street

MC: 3063

Austin TX 78756

Samuel Savala

DSHS-1301 S BOWEN RD STE 200

ARLINGTON, TX 76013

NOTE TO CONTRACTOR: PO#: 0000397918

AGENCY CONTACT/SHIP ATTN:

Samuel Savala

817) 264-4502 Samuel.Savala@dshs.texas.gov

HHS PURCHASER:

Lindsey De La Rosa lindsey.delarosa@hhs.texas.gov

AP Email: invoices@dshs.texas.gov

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

Dept Of State Health Services -

Lindsey- De-La-Rosa- lindsey.delarosa@hhs.texas.gov (512) 294-3627

Purchase Order PO No. 26216324

Order Date: 3/20/2026

Internal Tracking No.: 0000397918

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 57547 924653 Hp 62Xl/62 High-Yield Black And Tri- Color Ink Cartridges, Pack Of 2, N9H67Fn Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: 3/23/2026

MPN: N9H67FN

Manufacturer Name: HP INC.

4 EACH 57.70 $230.80

2 57547 9684150 Hp 962Xl/962 High-Yield Black And Cyan, Magenta, Yel low Ink Cartridges, Pack Of 4, 3Jb34An Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: 3/23/2026

MPN: 3JB34AN#140

Manufacturer Name: HP INC.

3 EACH 94.82 $284.46

3 61533 939611 Oxford Decoflex File Holder, Letter Size, Black Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: 3/23/2026

MPN: 23013

Manufacturer Name: TOPS BRANDS

2 EACH 33.71 $67.42

Total $582.68

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