26266639-1.pdf

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Attached to
TX|615-C1|26266639
Contract number
26266639
Issued by
Texas

About this file

This is a Purchase Order Change Notice (PO No. 26266639) issued by the State of Texas Health & Human Services Commission (HHSC) to Staples Contract & Commercial LLC. The order was placed on May 27, 2026, with an internal tracking number of 0000404540. The primary contacts for the agency include Margaret Moreno (Agency Contact/Ship), Lindsey De La Rosa (HHS Purchaser), and Maria Leal (Delivery Contact). The order will be billed to and shipped to the San Antonio SH location at 6711 S. New Braunfels, Suite 100, San Antonio, Texas 78223. This revision (Revision #1) reflects a contractor note change made on May 27, 2026, at 9:54 a.m., which updated the delivery contact from Sherri Johnson (Bldg. 817 Unit E2) to Maria Leal (Bldg. 817 1st Floor Room 1004).

The purchase order encompasses two office supply items under Contract 615-C1 (Term contract type): 2 rolls of Gorilla Tough & Clear Double-Sided Mounting Tape, 1" x 150" (GOR-6036002, manufactured by Essendant) at $10.13 per roll for an extended amount of $20.26, and 3 dozen Pilot G2 Retractable Gel Pens, Ultra Fine Point, 0.38mm, Black Ink (MPN 31277, manufactured by PILOT CORP) at $10.42 per dozen for an extended amount of $31.26. The total order value is $51.52. Both items have a delivery timeframe of three days with an expected delivery date of Monday, June 1, 2026. The State of Texas claims an exemption from state and city sales taxes under Texas Tax Code Section 151.309(4) for purchases by political subdivisions.

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Purchase Order Change Notice PO No. 26266639

Order Date: 5/27/2026

Internal Tracking No.: 0000404540

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

(888) 212-7219

San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223

Maria Leal

(210) 531-8069 5900 S Presa St San Antonio, TX 78223

NOTE TO CONTRACTOR:

5/27/2026-PO#: 0000404540AGENCY CONTACT/SHIP:Margaret Morenomargaret.moreno@hhs.texas.gov210-531-7718:

Delivery Contact: Maria Leal (210) 531-8069 Maria.Leal@hhs.texas.gov Bldg. 817 1st Floor Rm 1004 PURCHASER:Lindsey De La Rosalindsey.delarosa@hhs.texas.govAP Email: SAHACCOUNTING@dshs.texas.govInvoice per 34 TAC §20.487, amended effective 5-1-22

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):5/27/2026 9:54 am-Contractor note changed PO#: 0000404540

AGENCY CONTACT/SHIP:

Margaret Moreno margaret.moreno@hhs.texas.gov

210-531-7718

Delivery Contact: Sherri Johnson

(210) 531-8235

Sherri.johnson@hhs.texas.gov

Bldg. 817 Unit E2

HHS PURCHASER:

Lindsey De La Rosa lindsey.delarosa@hhs.texas.gov

AP Email: SAHACCOUNTING@dshs.texas.gov

Invoice per 34 TAC §20.487, amended effective 5-1-22 to: PO#: 0000404540AGENCY CONTACT/SHIP:Margaret Morenomargaret.moreno@hhs.texas.gov210-531-7718: Delivery Contact: Maria Leal (210) 531-8069 Maria.Leal@hhs.texas.gov Bldg. 817 1st Floor Rm 1004 PURCHASER:Lindsey De La Rosalindsey.delarosa@hhs.texas.govAP Email:

SAHACCOUNTING@dshs.texas.govInvoice per 34 TAC §20.487, amended effective 5-1-22

Purchase Order Change Notice PO No. 26266639

Order Date: 5/27/2026

Internal Tracking No.: 0000404540

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/CO-OP Member Purchaser Email Phone

Health & Human Services Commission - 529

Lindsey De-La-Rosa lindsey.delarosa@hhs.texas.gov (512) 294-3627

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

1 61588 GOR6036002 Gorilla Tough & Clear Double-Sided Mounting Tape, 1" x 150", Clear (6036002) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Mon Jun 01 2026

00:00:00 GMT-0700 (PDT)

MPN: GOR-6036002

Manufacturer Name: Essendant

2 ROLL 10.13 $20.26

2 62080 685682 Pilot G2 Retractable Gel Pens, Ultra Fine Point, 0.38mm, Black Ink, Dozen (31277) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: Mon Jun 01 2026

00:00:00 GMT-0700 (PDT)

MPN: 31277

Manufacturer Name: PILOT CORP

3 DOZ 10.42 $31.26

Total $51.52

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