26263927-0.pdf

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Attached to
TX|615-C1|26263927
Contract number
26263927
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 26263927) issued by the State of Texas Health and Human Services Commission (HHSC), Agency 529, to Staples Contract & Commercial LLC on May 8, 2026. The order is tracked internally as HHSTX-6-0000402762. The procuring agency contact is Mary Brothers at the Vernon, Texas location (940-689-5536), and the HHSC buyer is Carlos M Mojica. The order is delivered to 4730 College Drive, Vernon, Texas 76385, with billing to Terrell SH Warehouse in Terrell, Texas. The State of Texas claims exemption from all applicable federal excise taxes and state and city sales taxes under Texas Tax Code Section 151.309(4).

The purchase order covers one line item: 5 boxes of Pendaflex Moisture Resistant Heavy Duty Classification Folders (Model 1257R) with 2-dividers and 2-inch expansion in brick red, manufactured by Esselte America at a unit price of $38.20 per box for a total order value of $191.00. The item is procured under Contract 615-C1, a term contract, with a standard delivery timeframe of three business days from the order date, with delivery scheduled for May 11, 2026.

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Text version

Purchase Order PO No. 26263927

Order Date: 5/8/2026

Internal Tracking No.: HHSTX-6-0000402762

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

Mary Brothers

(940) 689-5536 4730 College Dr Vernon, TX 76385

NOTE TO CONTRACTOR: PO#: HHSTX-6-0000402762

AGENCY CONTACT:

MARY BROTHERS

940-689-5536

MARY.BROTHERS@HHS.TEXAS.GOV

HHSC BUYER:

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

DELIVERY:

4730 College Dr Vernon TX 76385

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

Purchase Order PO No. 26263927

Order Date: 5/8/2026

Internal Tracking No.: HHSTX-6-0000402762

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61545 508256 Pendaflex Moisture Resistant Heavy Duty Classification Folder, 2- Dividers, 2" Expansion, Letter Size, Brick Red, 10/Box (1257R) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 5/11/2026

MPN: 1257R

Manufacturer Name: ESSELTE

AMERICA

5 BOX 38.20 $191.00

Total $191.00

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