26265827-0.pdf

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Attached to
TX|615-C1|26265827
Contract number
26265827
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 26265827) issued by the State of Texas Health & Human Services Commission (HHSC), a state agency, to Staples Contract & Commercial LLC, a commercial contractor. The order was placed on May 20, 2026, with an internal tracking number of HHSTX-6-0000403948. The purchasing agent is Carlos M Mojica (CTCD, CTCM) with the agency contact being Ronda Cook. The contractor is based in Framingham, Massachusetts, with billing directed to the Brenham SSLC facility in Brenham, Texas, and delivery to the Austin SH Warehouse at 4301 N Lamar Boulevard in Austin, Texas.

The purchase order covers a single line item: 2 sets of Staples Pre-Printed A-Z Leatherette Dividers in Black (MPN: ST18946/11483), manufactured by Worklife Brands under Contract 615-C1. The unit price is $3.01 per set, resulting in an extended price of $6.02 for the total order. The delivery is scheduled for May 25, 2026, with an anticipated receipt order (ARO) of three days. The State of Texas is exempt from federal excise taxes and sales taxes on this purchase, as it is being acquired for exclusive state use.

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Text version

Purchase Order PO No. 26265827

Order Date: 5/20/2026

Internal Tracking No.: HHSTX-6-0000403948

Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702

(888) 212-7219

Brenham SSLC 4001 Highway 36 South Brenham TX 77833

Ronda Cook

(512) 705-1880 Austin SH Whse 4301 N Lamar Blvd

AUSTIN, TX 78756-3709

NOTE TO CONTRACTOR: PO#: HHSTX-6-0000403948

AGENCY CONTACT:

Ronda Cook ronda.cook@hhs.texas.gov

HHSC BUYER:

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

DELIVERY:

4301 N Lamar Blvd Austin TX 78751

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. 26265827

Order Date: 5/20/2026

Internal Tracking No.: HHSTX-6-0000403948

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61539 483305 Staples Pre-Printed A-Z Leatherette Dividers, Black (18946/11483) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 5/25/2026

MPN: ST18946/18946

Manufacturer Name: Worklife Brands

2 SET 3.01 $6.02

Total $6.02

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