26268360-1.pdf

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Attached to
TX|615-C1|26268360
Contract number
26268360
Issued by
Texas

About this file

This is a Purchase Order Change Notice (PO No. 26268360) issued by the State of Texas, Department of State Health Services (DSHS), on June 8, 2026. The contracting parties include ODP Business Solutions, LLC, the contractor based in Boca Raton, Florida, and DSHS with billing and shipping addresses in Austin and Arlington, Texas respectively. The purchase order was processed through the Texas Comptroller of Public Accounts Statewide Procurement Division by purchaser Debra Burns. The internal tracking number is 0000405944, and the document represents Revision #1 to the original purchase order.

The purchase order includes four line items for writing instruments manufactured by Pilot Corporation of America under contract 615-C1 (a term contract): 20 dozen Pilot Easytouch Retractable Ballpoint Pens in black ink at $6.64 per dozen ($132.80); 20 dozen in blue ink at $6.64 per dozen ($132.80); 10 dozen in red ink at $7.78 per dozen ($77.80); and 5 units of Pilot G2 Edge Gel Pens (36-pack) at $42.25 per unit ($211.25). The total order value is $554.65. The primary change made in this revision was adjusting the quantity on Line 4 from 6 units to 5 units. The delivery date is June 10, 2026, with a 2-day advance request on order (ARO). Shipping requirements include a packing list with PO number and contact information for Gracie A. Flores, and invoices must be sent to invoices@dshs.texas.gov. The State of Texas claims a sales tax exemption under Texas Tax Code Section 151.309(4).

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Text version

Purchase Order Change Notice PO No. 26268360

Order Date: 6/8/2026

Internal Tracking No.: 0000405944

Contractor Info Bill To Ship To ODP Business Solutions, LLC 18621616889 6600 N. Military Trail Boca Raton, FL 33496

(832) 477-6118

PO BOX 149347

Fiscal Division/Accounts Payable

AUSTIN TX 78714-9347

ATTN Flores,Gracie A

(817) 264-4655

DSHS-1301 S BOWEN RD STE 200

ARLINGTON, TX 76013

NOTE TO CONTRACTOR:

6/8/2026-LINE 4 QTY SHOULD BE 5 ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000405944 AND ATTN CONTACT INFO ******ORDER CONFIRMATION REQUIRED FROM VENDOR***SHIP TO ATTN Flores,Gracie A 817-264-4655 Gracie.Flores@dshs.texas.gov****SEND INVOICE TO invoices@dshs.texas.gov

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):6/8/2026 2:18 pm-Contractor note changed ***PACKING LIST REQUIRED TO SHOW PO

NUMBER 0000405944 AND ATTN CONTACT INFO ***

***ORDER CONFIRMATION REQUIRED FROM VENDOR***

SHIP TO ATTN Flores,Gracie A 817-264-4655 Gracie.Flores@dshs.texas.gov

****SEND INVOICE TO invoices@dshs.texas.gov to: LINE 4 QTY SHOULD BE 5 ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000405944 AND ATTN CONTACT INFO ******ORDER CONFIRMATION REQUIRED FROM VENDOR***SHIP TO ATTN Flores,Gracie A 817-264-4655 Gracie.Flores@dshs.texas.gov****SEND INVOICE TO invoices@dshs.texas.gov

6/8/2026 2:19 pm-Change to Line 4: Quantity has changed from: 6 to: 5

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

Dept Of State Health Services -

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564

Order Date: 6/8/2026

Internal Tracking No.: 0000405944

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

1 62080 106481 Pilot Easytouch Retractable Ballpoint Pens, Fine Point, 0.7 Mm, Clear Barrel, Black Ink, Pack Of 12 Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: Wed Jun 10 2026

00:00:00 GMT-0700 (PDT)

Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Flores,Gracie A 8 1 7 - 2 6 4 - 4 6 5 5 Gracie.Flores@dshs.texas.gov

MPN: 32210

Manufacturer Name: PILOT

CORPORATION OF AMERICA

20 DOZ 6.64 $132.80

2 62080 106491 Pilot Easytouch Retractable Ballpoint Pens, Fine Point, 0.7 Mm, Clear Barrel, Blue Ink, Pack Of 12 Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: Wed Jun 10 2026

00:00:00 GMT-0700 (PDT)

Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Flores,Gracie A 8 1 7 - 2 6 4 - 4 6 5 5 Gracie.Flores@dshs.texas.gov

MPN: 32211

Manufacturer Name: PILOT

CORPORATION OF AMERICA

20 DOZ 6.64 $132.80

Order Date: 6/8/2026

Internal Tracking No.: 0000405944

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

3 62080 160731 Pilot Easytouch Retractable Ballpoint Pens, Fine Point, 0.7 Mm, Clear Barrels, Red Ink, Pack Of 12 Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: Wed Jun 10 2026

00:00:00 GMT-0700 (PDT)

Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Flores,Gracie A 8 1 7 - 2 6 4 - 4 6 5 5 Gracie.Flores@dshs.texas.gov

MPN: 32212

Manufacturer Name: PILOT

CORPORATION OF AMERICA

10 DOZ 7.78 $77.80

4 62080 8772870 Pilot G2 Edge Gel Pens, Fine Point, 0.7Mm, Black Barrel, Black Ink, Pack Of 36 Pens Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: Wed Jun 10 2026

00:00:00 GMT-0700 (PDT)

Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Flores,Gracie A 8 1 7 - 2 6 4 - 4 6 5 5 Gracie.Flores@dshs.texas.gov

MPN: 15955

Manufacturer Name: PILOT

CORPORATION OF AMERICA

5 EACH 42.25 $211.25

Total $554.65

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