26242231-0.pdf

PDF 17 KB Posted

Attached to
TX|615-C1|26242231
Contract number
26242231
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26242231) issued by the State of Texas Health & Human Services Commission (HHSC) to Staples Contract & Commercial LLC on April 21, 2026. The order is directed to the Lubbock, Texas location (6302 Iola Ave, Lubbock, TX 79424) for delivery to Alejandro Mendoza. Debra Burns of HHSC serves as the purchasing agent. The order is placed under Contract 615-C1, a term contract with a standard delivery timeframe of three days from the order date (delivery date April 24, 2026).

The purchase order contains three line items totaling $750.00: 100 packs of BIC Wite-Out Correction Fluid (20 ml, White, 3-pack) at $3.04 per pack ($304.00 total); 150 individual BIC Wite-Out Shake 'N Squeeze Correction Pens (White) at $1.25 each ($187.50 total); and 50 dozen Avery Hi-Liter Desk Style Highlighters (Chisel Tip, Yellow) at $5.17 per dozen ($258.50 total). All items are office supplies subject to the State of Texas sales tax exemption as a purchase for state use. The vendor is required to provide order confirmation and include the PO number and attention contact information on all packing lists and shipping documents.

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Text version

Purchase Order PO No. 26242231

Order Date: 4/21/2026

Internal Tracking No.: 0000401043

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

(888) 212-7219

6302 Iola Ave Lubbock TX 79424

ATTN ALEJANDRO MENDOZA

(806) 999-7205 6302 Iola Ave Lubbock, TX 79424

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000401043 AND ATTN CONTACT INFO ***

***ORDER CONFIRMATION REQUIRED FROM VENDOR***

SHIP TO ATTN ALEJANDRO MENDOZA (806) 999-7205 alejandro.mendoza@hhs.texas.gov

SHIP TO/BILL TO: 6302 IOLA AVE, LUBBOCK, TX 79424

**SEND INVOICE TO Reg01_Admin_Services@hhsc.state.tx

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

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564

Order Date: 4/21/2026

Internal Tracking No.: 0000401043

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61529 419044 BIC Wite-Out Correction Fluid, 20 ml., White, 3/Pack (50603) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 4/24/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN ALEJANDRO

MENDOZA (806) 999-7205

alejandro.mendoza@hhs.texas.gov P O C W h e a t , M a t t h e w W matthew.wheat@hhs.texas.gov

SUPER USER: RAANA DARTY

8 0 6 - 7 8 3 - 6 5 3 3

RAANA.DARTY@HHS.TEXAS.GOV ;

SHIP TO/BILL TO: 6302 IOLA AVE,

LUBBOCK, TX 79424

MPN: WOFQD324-WHI

M a nu fa c t u r e r N a m e : B I C

CORPORATION

100 PACK 3.04 $304.00

2 61529 450852 BIC Wite-Out Shake 'N Squeeze C o r r e c t i o n P e n , W h i t e

(50694/WOSQPP11)

Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 4/24/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN ALEJANDRO

MENDOZA (806) 999-7205

alejandro.mendoza@hhs.texas.gov P O C W h e a t , M a t t h e w W matthew.wheat@hhs.texas.gov

SUPER USER: RAANA DARTY

8 0 6 - 7 8 3 - 6 5 3 3

RAANA.DARTY@HHS.TEXAS.GOV ;

SHIP TO/BILL TO: 6302 IOLA AVE,

LUBBOCK, TX 79424

MPN: WOSQPP11-WHI

M a nu fa c t u r e r N a m e : B I C

CORPORATION

150 EACH 1.25 $187.50

Order Date: 4/21/2026

Internal Tracking No.: 0000401043

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

3 62090 827928 Avery Hi-Li ter Desk Style Highlighters, Chisel Tip, Yellow, Dozen (07742) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 4/24/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN ALEJANDRO

MENDOZA (806) 999-7205

alejandro.mendoza@hhs.texas.gov P O C W h e a t , M a t t h e w W matthew.wheat@hhs.texas.gov

SUPER USER: RAANA DARTY

8 0 6 - 7 8 3 - 6 5 3 3

RAANA.DARTY@HHS.TEXAS.GOV ;

SHIP TO/BILL TO: 6302 IOLA AVE,

LUBBOCK, TX 79424

MPN: AVE07742

Manufacturer Name: Avery Products Corporation

50 DOZ 5.17 $258.50

Total $750.00

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