26260619-0.pdf

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Attached to
TX|615-C1|26260619
Contract number
26260619
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 26260619) issued by the Health & Human Services Commission (HHCS) - Agency 529, a Texas state agency, to ODP Business Solutions, LLC, a vendor located in Boca Raton, Florida. The order was placed on May 6, 2026, with delivery directed to two Texas locations: San Antonio SH (6711 S. New Braunfels, Suite 100) and Rio Grande SH Warehouse (1401 S. Rangerville Road, Harlingen). The ordering was processed by JaVorashay Johnson, the agency purchaser, with Adolfo Gamez Jr. designated as the primary agency contact.

The purchase order covers 25 units of Adams Carbonless 2-Part Money/Rent Receipt Books (7 5/8 inches by 11 inches, 200 sets per book) manufactured by TOPS Business Forms at a unit price of $8.73 each, for a total contract value of $218.25. The order references Contract 615-C1, classified as a Term contract, with an approved delivery timeframe of 2 days and a scheduled delivery date of May 8, 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). Invoices must be submitted to SAHAccounting@dshs.texas.gov, and deliveries are restricted to specified business hours: 8:00-11:30 AM and 1:00-4:30 PM Monday through Friday, excluding designated state holidays.

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Text version

Purchase Order PO No. 26260619

Order Date: 5/6/2026

Internal Tracking No.: HHSTX-6-0000402421

Contractor Info Bill To Ship To ODP Business Solutions, LLC 18621616889 6600 N. Military Trail Boca Raton, FL 33496

(832) 477-6118

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

Adolfo Gamez Jr

(956) 364-8354 Rio Grande SH Whse 1401 S. Rangerville Rd Harlingen, TX 78552

NOTE TO CONTRACTOR: Agency Contact: Adolfo Gamez Jr P: 956-364-8354 E: adolfo.gamezjr@hhs.texas.gov

VENDORS, PLEASE SEND INVOICES TO: SAHAccounting@dshs.texas.gov

Delivery hours are from 8:00-11:30 AM and 1:00-4:30 PM Monday through Friday except for designated State Holidays when the Warehouse is closed. Contact “agency contact” for delivery questions.

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

JaVorashay Johnson JaVorashay.Johnson03@hhs.texas.gov (512) 406-2563

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61515 436840 Adams Carbonless 2-Par t Money/Rent Receipt Book, 7 5/8In X 11In, Book Of 200 Sets Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: 5/8/2026

MPN: DC1182

Manufac turer Name: TOPS

BUSINESS FORMS

25 EACH 8.73 $218.25

Total $218.25

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