26264072-0.pdf
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- Attached to
- TX|640-A1|26264072
- Contract number
- 26264072
- Issued by
- Texas
About this file
Purchase Order Summary
This is a Purchase Order (PO No. 26264072) issued by the Health & Human Services Commission - 529 (State of Texas) to Pollock Paper Distributors, a paper products supplier based in Grand Prairie, Texas. The order was placed on May 11, 2026, with an internal tracking number of 0000402868. The purchasing agent is Debra Burns from the Statewide Procurement Division. Shipment is directed to the Rusk Service Hub Warehouse located at 805 N Dickinson Dr, Rusk, Texas, with Rachel Ella Eubanks designated as the primary contact. The order is exempt from state and city sales taxes under Texas Tax Code Section 151.309(4).
The purchase order covers pan liners manufactured by JR RODRIGUEZ, specifically paper sheets measuring 16.375 inches by 24.375 inches in packages of 1,000 sheets per case (MPN: PL1624). The order quantity is 8 cases at a unit price of $40.71 per case, resulting in a total order value of $325.68. The purchase is under Contract 640-A1, a term contract with an estimated delivery timeframe of 14 days from the order date, with a scheduled delivery date of May 25, 2026. Invoices should be submitted to HHSCTSHAccounting@hhs.texas.gov, and a packing list showing the PO number and contact information is required with shipment.
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Text version
Purchase Order PO No. 26264072
Order Date: 5/11/2026
Internal Tracking No.: 0000402868
Contractor Info Bill To Ship To Pollock Paper Distributors 17510154069 1 Pollock Place Grand Prairie, TX 75050
(972) 337-3681
Terrell SH Whse 1200 E Brin
TERRELL TX 75160
ATTN Eubanks,Rachel Ella
(903) 683-7528 Rusk SH Whse 805 N Dickinson Dr Rusk, TX 75785
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000402868 AND ATTN CONTACT INFO *** SHIP TO ATTN Eubanks,Rachel Ella 903-683-7528 rachel.eubanks@hhs.texas.gov Agency Contact Jones,Krysta A 903-683-7501 krysta.jones@hhs.texas.gov ***Send invoice to HHSCTSHAccounting@hhs.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
Purchase Order PO No. 26264072
Order Date: 5/11/2026
Internal Tracking No.: 0000402868
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 64050 64050621624 Pan L iners , Paper Sheet , 16.375" (W) X 24.375" (L), 1,000 Sheets/Cs Contract: 640-A1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 5/25/2026 Notes: **PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Eubanks,Rachel Ella 9 0 3 - 6 8 3 - 7 5 2 8 rachel.eubanks@hhs.texas.gov Agency Contact Jones,Krysta A 9 0 3 - 6 8 3 - 7 5 0 1 krysta.jones@hhs.texas.gov 805 N Dickinson Dr Rusk TX 75785
MPN: PL1624
Manufacturer Name: JR RODRIGUEZ
8 CASE 40.71 $325.68
Total $325.68
File details come from the government source that posted it. Updated .