26263701-0.pdf
PDF 16 KB Posted
- Attached to
- TX|800-A1|26263701
- Contract number
- 26263701
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26263701) issued by the State of Texas Health & Human Services Commission (Agency Code 529) to Shoe Corporation of Birmingham, Inc., dated May 7, 2026. The order was placed by purchaser Santino Campos and will be managed by agency contact Teresa Wittenburg. The contractor is located in Birmingham, Alabama, with billing to the Terrell warehouse in Terrell, Texas and shipping to the Rusk warehouse in Rusk, Texas. The order is exempt from state and city sales taxes under Texas Tax Code Section 151.309(4).
The purchase order covers Men's Low Court Athletic Shoes in all black leather (Manufacturer Part Number 2800, Commodity Code 80005411009) across nine line items in varying sizes ranging from size 9 to size 14. The total order quantity is 180 pairs at a unit price of $14.91 per pair, resulting in a total contract value of $2,683.80. All line items are under Contract 800-A1, a term contract with a standard delivery timeframe of 7 days and a scheduled delivery date of May 14, 2026. Invoicing is to be submitted in accordance with 34 TAC §20.487, amended effective May 1, 2022.
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Text version
Purchase Order PO No. 26263701
Order Date: 5/7/2026
Internal Tracking No.: 0000402491
Contractor Info Bill To Ship To Shoe Corporation of Birmingham, Inc.
16306356904 125 45Th Place North Birmingham, AL 35222
(205) 397-4261
Terrell SH Whse 1200 E Brin
TERRELL TX 75160
Teresa Wittenburg
(903) 683-7278 Rusk SH Whse 805 N Dickinson Dr Rusk, TX 75785
NOTE TO CONTRACTOR: PO# 0000402491
AGENCY CONTACT:
Teresa Wittenburg 903/683-7278 teresa.wittenburg@hhs.texas.gov
VENDOR:
Shoe Corporation of Birmingham, INC Michelle Finney 205-326-2800 mfinney@shoecorp.com
AP Email: HHSCTSHAccounting@hhs.texas.gov
DELIVERY: Add any delivery notes from the Requisition, if applicable.
Invoice per 34 TAC §20.487, amended effective 5-1-22
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
Santino Campos Santino.Campos@hhs.texas.gov (210) 986-4475
Order Date: 5/7/2026
Internal Tracking No.: 0000402491
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 80005 80005411009 Men's Low Court Athletic Shoe, All Black, Leather Attribute 1: 9 Contract: 800-A1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 5/14/2026
MPN: 2800
Manufacturer Name: SHOE CORP
12 PR 14.91 $178.92
2 80005 80005411009 Men's Low Court Athletic Shoe, All Black, Leather Attribute 1: 9.5 Contract: 800-A1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 5/14/2026
MPN: 2800
Manufacturer Name: SHOE CORP
12 PR 14.91 $178.92
3 80005 80005411009 Men's Low Court Athletic Shoe, All Black, Leather Attribute 1: 10 Contract: 800-A1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 5/14/2026
MPN: 2800
Manufacturer Name: SHOE CORP
36 PR 14.91 $536.76
4 80005 80005411009 Men's Low Court Athletic Shoe, All Black, Leather Attribute 1: 10.5 Contract: 800-A1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 5/14/2026
MPN: 2800
Manufacturer Name: SHOE CORP
24 PR 14.91 $357.84
5 80005 80005411009 Men's Low Court Athletic Shoe, All Black, Leather Attribute 1: 11 Contract: 800-A1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 5/14/2026
MPN: 2800
Manufacturer Name: SHOE CORP
24 PR 14.91 $357.84
Order Date: 5/7/2026
Internal Tracking No.: 0000402491
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
6 80005 80005411009 Men's Low Court Athletic Shoe, All Black, Leather Attribute 1: 11.5 Contract: 800-A1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 5/14/2026
MPN: 2800
Manufacturer Name: SHOE CORP
24 PR 14.91 $357.84
7 80005 80005411009 Men's Low Court Athletic Shoe, All Black, Leather Attribute 1: 12 Contract: 800-A1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 5/14/2026
MPN: 2800
Manufacturer Name: SHOE CORP
24 PR 14.91 $357.84
8 80005 80005411009 Men's Low Court Athletic Shoe, All Black, Leather Attribute 1: 13 Contract: 800-A1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 5/14/2026
MPN: 2800
Manufacturer Name: SHOE CORP
12 PR 14.91 $178.92
9 80005 80005411009 Men's Low Court Athletic Shoe, All Black, Leather Attribute 1: 14 Contract: 800-A1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 5/14/2026
MPN: 2800
Manufacturer Name: SHOE CORP
12 PR 14.91 $178.92
Total $2,683.80
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