26264693-0.pdf

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Attached to
TX|TXMAS-25-45004|26264693
Contract number
26264693
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 26264693) issued by the State of Texas Health & Human Services Commission (HHSC), Agency Code 529, to Fastenal Company on May 15, 2026. The ordering agency is HHSC with the purchaser identified as Nicole Smith, and the agency contact is Darin Adams. The order is to be shipped to HHSC's location at 3303 Mineola Highway, Tyler, Texas 75702, with invoicing directed to the HHSC office in Tyler, Texas. The contract is governed under TXMAS-25-45004 (a Texas Multiple Award Schedule contract).

The purchase order covers two line items of office and janitorial supplies with a total contract value of $1,812.00. Line 1 specifies 75 units of 1.30-ounce clear glue sticks (OIC brand, part number 1603945) at $3.10 per unit for $232.50, with an expected delivery date of May 25, 2026 (10 days from order). Line 2 specifies 810 units of 100-count roll white 2-ply paper perforated roll towels (Pacific Blue brand, part number 27300) at $1.95 per unit for $1,579.50, with an expected delivery date of May 22, 2026 (7 days from order). The State of Texas is exempt from federal excise taxes and sales taxes on this purchase under Texas Tax Code Section 151.309(4).

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Text version

Purchase Order PO No. 26264693

Order Date: 5/15/2026

Internal Tracking No.: 0000403423

Contractor Info Bill To Ship To Fastenal Company 14109484155 2001 Theurer Blvd.

Winona, MN 55987

(833) 790-9932

302 E RIECK RD-MC3135

INVOICE-HHSC

TYLER TX 75703

Darin Adams

(903) 509-5143

HHSC -3303 MINEOLA HWY

TYLER, TX 75702

NOTE TO CONTRACTOR: PO#: 0000403423

AGENCY CONTACT:

ATTENTION TO: DARIN ADAMS

903-533-4258 darin.adams@hhs.texas.gov

SEE ATTACHMENT -Invoicing Standards

HHSC BUYER:

Nicole Smith, CTCD, CTCM Nicole.Smith1@hhs.texas.gov

AP Email: reg04_admin_services@hhs.texas.gov

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

Nicole Smith Nicole.Smith1@hhs.texas.gov (512) 111-1111

Purchase Order PO No. 26264693

Order Date: 5/15/2026

Internal Tracking No.: 0000403423

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 05043 1603945 1.30Oz Clear Oic[Reg] Glue Stick Contract: TXMAS-25-45004 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: 5/25/2026

MPN: 1603945

Manufacturer Name: OIC[REG]

75 EACH 3.10 $232.50

2 64075 665105-13144

100 Count Roll White 2-Ply Paper Perforated Roll Towel Contract: TXMAS-25-45004 Contract Type: TXMAS Delivery ARO (days): 7 Delivery Date: 5/22/2026

MPN: 27300

Manufacturer Name: PACIFIC BLUE

810 EACH 1.95 $1,579.50

Total $1,812.00

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