26258998-0.pdf

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Attached to
TX|615-C1|26258998
Contract number
26258998
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 26258998) issued by the State of Texas Health & Human Services Commission (Agency 529) on May 1, 2026, to Staples Contract & Commercial LLC for delivery to the San Antonio facility. The order was placed by purchaser Debra Burns through the Texas Comptroller of Public Accounts Statewide Procurement Division. The State of Texas claims a sales tax exemption under Texas Tax Code Section 151.309(4) as the property is being secured for exclusive state use.

The purchase order encompasses three line items of office supplies under Contract 615-C1 (Term Contract): 1 pack of Astrobrights 65 lb. cardstock paper (Venus Violet, 250 sheets) at $16.38; 2 packs of Rubbermaid Regeneration stackable letter trays (black plastic, 6-pack units) at $18.67 per pack totaling $37.34; and 6 individual units of Sortkwik 1.75 oz. fingertip moistener (pink) at $1.81 per unit totaling $10.86. The order total is $64.58. All items are scheduled for delivery within 3 days of the order date (delivery date May 4, 2026) to Building 817, Unit D0, Room 0567 in San Antonio. The vendor is required to provide order confirmation and include the PO number and contact information (Sherri Johnson, 210-531-7382) on all packing lists. Invoices must be submitted via email to SAHACCOUNTING@dshs.texas.gov.

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Text version

Purchase Order PO No. 26258998

Order Date: 5/1/2026

Internal Tracking No.: 0000402041

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

(888) 212-7219

San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223

Attn Sherri Johnson

(210) 531-7382 San Antonio SH Whse 6711 S. New Braunfels, Ste 100 San Antonio, TX 78223 ldg/Floor/Cubicle: Bldg. 817 Unit D0 Rm 0567

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000402041 AND ATTN CONTACT INFO ***

***ORDER CONFIRMATION REQUIRED FROM VENDOR***

Ship to Attn Sherri Johnson 210-531-7382Sherri.johnson@hhs.texas.gov SME/Lead Contact: Margaret Moreno 210-531-7718 margaret.moreno@hhs.texas.gov *** SEND INVOICES VIA EMAIL TO: SAHACCOUNTING@dshs.texas.gov

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: 5/1/2026

Internal Tracking No.: 0000402041

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 64594 WAU22091 Astrobrights 65 lb. Cardstock Paper, 8.5" x 11", Venus Violet, 250 Sheets/Pack (WAU22091) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 5/4/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

Ship to Attn Sherr i Johnson 210-531-7382Sherri.johnson@hhs.tex as.gov SME/Lead Contact: Margaret Moreno 2 1 0 - 5 3 1 - 7 7 1 8 margaret.moreno@hhs.texas.gov Destination SASH Warehouse: Please deliver to Bldg. 818 Info for Warehouse staff:

Delivery Contact: Sherri Johnson Bldg/Floor/Cubicle: Bldg. 817 Unit D0 Rm 0567

MPN: WAU-22091

Manufacturer Name: Essendant

1 PACK 16.38 $16.38

Order Date: 5/1/2026

Internal Tracking No.: 0000402041

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 61560 RUB86028 Rubbermaid Regenerat ion Stackable Side Loading Letter Trays, Letter Size, Black Plastic, 6/Pack (86028) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 5/4/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

Ship to Attn Sherr i Johnson 210-531-7382Sherri.johnson@hhs.tex as.gov SME/Lead Contact: Margaret Moreno 2 1 0 - 5 3 1 - 7 7 1 8 margaret.moreno@hhs.texas.gov Destination SASH Warehouse: Please deliver to Bldg. 818 Info for Warehouse staff:

Delivery Contact: Sherri Johnson Bldg/Floor/Cubicle: Bldg. 817 Unit D0 Rm 0567

MPN: RUB-86028

Manufacturer Name: Essendant

2 PACK 18.67 $37.34

Order Date: 5/1/2026

Internal Tracking No.: 0000402041

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

3 60546 113571 Sortkwik 1.75 oz. Fingertip Moistener, Pink (10134) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 5/4/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

Ship to Attn Sherr i Johnson 210-531-7382Sherri.johnson@hhs.tex as.gov SME/Lead Contact: Margaret Moreno 2 1 0 - 5 3 1 - 7 7 1 8 margaret.moreno@hhs.texas.gov Destination SASH Warehouse: Please deliver to Bldg. 818 Info for Warehouse staff:

Delivery Contact: Sherri Johnson Bldg/Floor/Cubicle: Bldg. 817 Unit D0 Rm 0567

MPN: 10134

Manufacturer Name: LEE PRODUCTS

6 EACH 1.81 $10.86

Total $64.58

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