26241240-0.pdf

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Attached to
TX|615-C1|26241240
Contract number
26241240
Issued by
Texas

About this file

This Purchase Order (PO No. 26241240) was issued by the State of Texas Health & Human Services Commission (HHSC) on April 15, 2026, to Staples Contract & Commercial LLC for delivery to the Rusk Statehouse Warehouse in Rusk, Texas. The order was processed by HHSC buyer Carlos M Mojica, with agency contact Danielle Todd serving as the point of contact. The purchase is governed under Contract 615-C1, a term contract with the Texas Comptroller of Public Accounts Statewide Procurement Division.

The order comprises five line items of office supplies with a total value of $83.73 and a standard delivery timeframe of three days (scheduled delivery date of April 20, 2026). The items include 4 dozen Pentel EnerGel-X RollerGel retractable gel pens in blue ($35.80), 10 packs of Post-it Arrow Flags in assorted colors ($17.20), 2 dozen additional Pentel EnerGel-X pens ($17.90), 1 pack of Expo Dry Erase Markers with chisel tip in assorted colors ($6.62), and 1 pack of Expo Dry Erase Markers with fine tip in assorted colors ($6.21). The State of Texas exemption from federal excise taxes and sales taxes applies to this purchase under Texas Tax Code Section 151.309(4).

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Text version

Purchase Order PO No. 26241240

Order Date: 4/15/2026

Internal Tracking No.: HHSTX-6-0000400560

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

(888) 212-7219

Terrell SH Whse 1200 E Brin

TERRELL TX 75160

Danielle Todd

(903) 683-7435 Rusk SH Whse 805 N Dickinson Dr Rusk, TX 75785

NOTE TO CONTRACTOR: PO#: HHSTX-6-0000400560

AGENCY CONTACT:

Danielle Todd 903.683.7435 danielle.todd@hhs.texas.gov

HHSC BUYER:

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

DELIVERY:

805 N Dickinson Dr PO Box 318 Rusk TX 75785

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: 4/15/2026

Internal Tracking No.: HHSTX-6-0000400560

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62080 343575 Pentel EnerGel-X RollerGel Retractable Gel Pens, Medium Point, Blue Ink, Dozen (BL107-C) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 4/20/2026

MPN: BL107-C

Manufacturer Name: PENTEL OF

AMERICA LTD

4 DOZ 8.95 $35.80

2 61562 439110 Post-it® Arrow Flags, .47" Wide, Assorted Colors, 96 Flags/Pack

(684-ARR4)

Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 4/20/2026

MPN: 684ARR4

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

CORPORATION

10 PACK 1.72 $17.20

3 62080 343575 Pentel EnerGel-X RollerGel Retractable Gel Pens, Medium Point, Blue Ink, Dozen (BL107-C) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 4/20/2026

MPN: BL107-C

Manufacturer Name: PENTEL OF

AMERICA LTD

2 DOZ 8.95 $17.90

4 62090 1677925 Expo Dry Erase Markers, Chisel Tip, Assorted Colors, 8/Pack (1927524) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 4/20/2026

MPN: 1927524

Manufacturer Name: SANFORD

CORP

1 PACK 6.62 $6.62

5 62090 567488 Expo Dry Erase Marker, Fine Tip, Assorted Colors, 8/Pack (86601) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 4/20/2026

MPN: 86601

Manufacturer Name: SANFORD

CORP

1 PACK 6.21 $6.21

Order Date: 4/15/2026

Internal Tracking No.: HHSTX-6-0000400560

Total $83.73

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