26216755-0.pdf

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Attached to
TX|615-C1|26216755
Contract number
26216755
Issued by
Texas

About this file

This Purchase Order No. 26216755, issued on March 24, 2026, is a state procurement document from the Health and Human Services Commission (HHSC) in Texas. The order was placed with Staples Contract & Commercial LLC, a commercial supplier based in Framingham, Massachusetts. The purchasing agency is the HHSC, located in Austin, Texas, with the shipment destination to Lisa Vallejo at 5425 Polk Street, Suite 420, Houston, Texas 77023. The buyer is Oluwaseyi Omisore, CTCD, CTCM, with the internal tracking number 0000398121 and CAPPS financial number matching the same identification. The order is exempt from state and city sales taxes under Texas Tax Code Section 151.309(4) as a purchase for exclusive use by the State of Texas.

The purchase covers one line item: seven packs of Pentel EnerGel RTX Retractable Gel Pens (model BLN75BP3C) with needle tip fine point blue ink, three pens per pack. The unit price is $3.83 per pack with an extended total of $26.81. The order references Contract 615-C1, a term contract with Staples, with a delivery timeframe of three days from the order date (delivery date of March 27, 2026). The manufacturer is Pentel of America Ltd. No tax is applied to this order due to the state exemption status.

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Text version

Purchase Order PO No. 26216755

Order Date: 3/24/2026

Internal Tracking No.: 0000398121

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

Lisa Vallejo 5425 Polk St Ste 420 Houston, TX 77023

NOTE TO CONTRACTOR: CAPPS FIN PO#:0000398121

AGENCY CONTACT:

Tracy Rodriguez 512-536-0404 Tracy.Rodriguez@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. 26216755

Order Date: 3/24/2026

Internal Tracking No.: 0000398121

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62080 848096 Pentel EnerGel RTX Retractable Gel Pens, Needle Tip Fine Point, Blue Ink, 3/Pack (BLN75BP3C) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 3/27/2026

MPN: BLN75BP3C

Manufacturer Name: PENTEL OF

AMERICA LTD

7 PACK 3.83 $26.81

Total $26.81

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