26240564-0.pdf

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Attached to
TX|615-C1|26240564
Contract number
26240564
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26240564) issued by the State of Texas Health & Human Services Commission (HHSC) to Staples Contract & Commercial LLC, dated April 10, 2026. The order is for delivery to the Lubbock SSLC Warehouse located at 3401 N University Ave, Lubbock, TX 79415, with billing directed to the Abilene SSLC. The HHSC buyer is Carlos M Mojica, and the agency contact is Luisa Olguin-Torrez. The purchase order references Contract 615-C1, a term contract with an approved delivery window of 3 days from order date.

The order comprises nine line items totaling $1,892.70 in office supply commodities, including Post-it Super Sticky Easel Pads (8 packs at $200.85 each), a Fellowes laptop riser, Post-it Notes in various collections (40 packs total), Staples Sonix retractable gel pens in red and black ink (2 dozen), Swingline staple removers (2 units), Staples jumbo paper clips, and a Staples indoor trash can. All items are scheduled for delivery on April 13, 2026. The State of Texas claims exemption from Federal Excise Taxes and state and city sales taxes under Texas Tax Code Section 151.309(4), as the property is being procured for exclusive use by the state.

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Text version

Purchase Order PO No. 26240564

Order Date: 4/10/2026

Internal Tracking No.: HHSTX-6-0000400039

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

(888) 212-7219

Abilene SSLC PO Box 451 Abilene TX 79604

Lubbock SSLC Whse 3401 N University Ave

LUBBOCK, TX 79415

NOTE TO CONTRACTOR: PO#: HHSTX-6-0000400039

AGENCY CONTACT:

Luisa Olguin-Torrez luisa.olguin-torrez@hhs.texas.gov 806-741-3511

HHSC BUYER:

Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov

DELIVERY:

3401 N University Ave Lubbock TX 79415

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

Carlos-M Mojica carlos.mojica01@hhs.texas.gov (512) 705-1880

Order Date: 4/10/2026

Internal Tracking No.: HHSTX-6-0000400039

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 78547 1668443 Post-it Super Sticky Easel Pad, 25" x 30", 30 Sheets/Pad, 8 Pads/Pack

(559VAD8PK)

Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 4/13/2026

MPN: 559VAD8PK

M a n u fa c t u r e r N a m e : 3 M

CORPORATION

8 PACK 200.85 $1,606.80

2 78543 644907 Fellowes Office Suites Plastic Laptop Riser, 6.5" X 15.06" X 10.5", Black/Silver (8036701) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 4/13/2026

MPN: 644907-1855753

Manufacturer Name: FELLOWES

1 EACH 36.53 $36.53

3 61562 470401 Post-it Notes, 3" x 5", Floral Fantasy Collection, 100 Sheet/Pad, 5 Pads/Pack (6555UC) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 4/13/2026

MPN: 6555UC

M a n u fa c t u r e r N a m e : 3 M

CORPORATION

20 PACK 4.81 $96.20

4 61562 448902 Post-it Notes, 3" x 5", Poptimistic Collection, Lined, 100 Sheet/Pad, 5 Pads/Pack (635-5AN) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 4/13/2026

MPN: 635-5AN

M a n u fa c t u r e r N a m e : 3 M

CORPORATION

20 PACK 5.31 $106.20

Order Date: 4/10/2026

Internal Tracking No.: HHSTX-6-0000400039

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

5 62080 651255 Staples Sonix Retractable Gel Pens, Medium Point, Red Ink, Dozen

(13562-CC)

Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 4/13/2026

MPN: 13562-CC

Manufacturer Name: STAPLES

BRANDS GROUP

1 DOZ 8.02 $8.02

6 62080 651254 Staples Sonix Retractable Gel Pens, Medium Point, 0.7mm, Black Ink, Dozen (13561-CC) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 4/13/2026

MPN: 13561-CC

Manufacturer Name: STAPLES

BRANDS GROUP

1 DOZ 8.02 $8.02

7 61581 SWI38101 Swingline® Deluxe Claw Staple Remover, Black (17005/S7038101) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 4/13/2026

MPN: SWI-38101

Manufacturer Name: Essendant

2 EACH 3.53 $7.06

8 61569 525949 Staples Jumbo Paper Clips, Silver, 100/Box (A7026601A) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 4/13/2026

MPN: ST99915/A70266

Manufacturer Name: Worklife Brands

1 BOX 1.80 $1.80

9 61595 827899 Staples Indoor Trash Can Without Lid, Black Steel Mesh, 5 Gal. (56903) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 4/13/2026

MPN: 827899-1855753

Manufacturer Name: WORKLIFE

BRANDS

1 EACH 22.07 $22.07

Order Date: 4/10/2026

Internal Tracking No.: HHSTX-6-0000400039

Total $1,892.70

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