26267174-0.pdf

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Attached to
TX|615-C1|26267174
Contract number
26267174
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26267174) issued by the State of Texas Health and Human Services Commission (HHSC) to Staples Contract & Commercial LLC. The order was placed on May 29, 2026, with delivery scheduled for June 1, 2026. The ordering agency is the Health and Human Services Commission, located in Austin, Texas, with the bill-to address in Austin and ship-to address in Fort Worth, Texas. The agency purchaser is Maricella Duran, and the primary agency contact is Dawn Freeman-Chapman.

The purchase order covers Southworth Certificate Holders measuring 8.5" x 11" in Navy Blue, supplied in 10-pack units (MPN: PF8), manufactured by Neenah Paper Inc. The order quantity is 3 packs at a unit price of $7.88 per pack, resulting in an extended price of $23.64. The procurement was made under Contract 615-C1, designated as a term contract with a 3-day delivery window. The total order value is $23.64, and the State of Texas claims exemption from sales and excise taxes as a government entity.

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Text version

Purchase Order PO No. 26267174

Order Date: 5/29/2026

Internal Tracking No.: 0000404973

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

(888) 212-7219

Health and Human Services Commission 4601 Guadalupe St Austin TX 78751

Dawn Freeman-Chapman

(682) 429-0031 7450 John T White Fort Worth, TX 76120 E m a i l :

Dawn.FreemanChapman1@hhs.texas.gov

NOTE TO CONTRACTOR: AGENCY CONTACT:

Name: Dawn Freeman-Chapman Email: Dawn.FreemanChapman1@hhs.texas.gov Number: (682) 429-0031

AP Email: HHSC_AP@hhs.texas.gov

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

Maricella Duran maricella.duran@hhs.texas.gov (512) 000-0000

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 08078 709134 Southworth Certificate Holders, 8.5" x 11", Navy Blue, 10/Pack (PF8) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 6/1/2026

MPN: PF8

Manufacturer Name: NEENAH PAPER

INC (NSP

3 PACK 7.88 $23.64

Total $23.64

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