26265650-0.pdf

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Attached to
TX|TXMAS-25-45004|26265650
Contract number
26265650
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 26265650) issued by the State of Texas, Health & Human Services Commission (HHSC), Agency Code 529, to Fastenal Company for supplies. The order was placed on May 19, 2026, with an internal tracking number 0000403780. The purchaser is Debra Burns from HHSC's Statewide Procurement Division. Shipment is directed to DARIN ADAMS at the HHSC facility located at 3303 Mineola Highway, Tyler, Texas 75702, with billing to the invoice address at 302 E Rieck Road, Tyler, Texas 75703. Invoices are to be submitted to reg04_admin_services@hhs.texas.gov. The State of Texas is exempt from Federal Excise Taxes and sales taxes under Texas Tax Code Section 151.309(4).

The purchase order covers six units of Scotch Thermal Pouches (8.9" X 11.4", 100-count packages, Model TP3854-100WM, Supplier Part #99874451) at a unit price of $33.39 per package, totaling $200.34. The items are procured under TXMAS Contract TXMAS-25-45004 (TXMAS contract type) with an anticipated receipt to order (ARO) delivery window of 10 days and a scheduled delivery date of May 29, 2026. The packing list must include the PO number and attention contact information as specified in the order notes.

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Text version

Purchase Order PO No. 26265650

Order Date: 5/19/2026

Internal Tracking No.: 0000403780

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

Attn DARIN ADAMS

(903) 533-4258

HHSC -3303 MINEOLA HWY

TYLER, TX 75702

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000403780 AND ATTN CONTACT INFO *** Ship to Attn DARIN ADAMS / 903-533-4258 / darin.adams@hhs.texas.gov SUPER USER: michelle.dawis@hhs.texas.gov 903-509-5143 ***SEND INVOICES TO: reg04_admin_services@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. 26265650

Order Date: 5/19/2026

Internal Tracking No.: 0000403780

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 60530 99874451 8.9" X 11.4" (228Mm X 291Mm) Scotch[Tm] Tp3854-100Wm Thermal Pouches 100Ct/Package Contract: TXMAS-25-45004 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: 5/29/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

Ship to Attn DARIN ADAMS / 9 0 3 - 5 3 3 - 4 2 5 8 / darin.adams@hhs.texas.gov S U P E R U S E R :

m iche l l e .daw is@hhs. texas .gov 903-509-5143 Health and Human Services Commission

3303 MINEOLA HWY., TYLER, TX

75702

MPN: 00051141943435

Manufacturer Name: Scotch

6 EACH 33.39 $200.34

Total $200.34

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