26268526-0.pdf

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Attached to
TX|615-C1|26268526
Contract number
26268526
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26268526) issued by the State of Texas, Department of State Health Services (Agency 537), through the Texas Comptroller of Public Accounts Statewide Procurement Division. The order was placed on June 9, 2026, with Staples Contract & Commercial LLC, headquartered in Framingham, Massachusetts. The purchasing agent is Debra Burns, and the order will be received by Josephine Briseno at the Department of State Health Services Laboratory L-114 facility located at 1100 W 49th Street in Austin, Texas.

The purchase order covers three line items of office supplies totaling $122.62 with no sales tax applied under the State of Texas tax exemption. The items include: (1) three packs of Staples File Folders, 1/3-Cut Tab, Letter Size, Manilla at $10.32 per pack totaling $30.96; (2) two packs of BIC Wite-Out Exact Liner Correction Tape, White at $3.26 per pack totaling $6.52; and (3) one carton of Staples Heavy Duty 4" 3-Ring View Binders, D-Ring, White at $85.14. All items are ordered under Contract 615-C1, a term contract, with a three-day delivery window and an estimated delivery date of June 12, 2026. The vendor is required to provide order confirmation and include the PO number and contact information on all packing lists.

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Text version

Purchase Order PO No. 26268526

Order Date: 6/9/2026

Internal Tracking No.: 0000406045

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

(888) 212-7219

PO BOX 149347

Fiscal Division/Accounts Payable

AUSTIN TX 78714-9347

ATTN Josephine Briseno

(512) 776-7430

1100 W 49TH ST

Laboratory L114 FLOOR: 2nd

AUSTIN, TX 78756-3101

BUILDING: Laboratory L-114 FLOOR: 2nd RM:

L-204.1

NOTE TO CONTRACTOR: **PACKING LIST REQUIRED TO SHOW PO NUMBER 0000406045 AND ATTN CONTACT INFO ***

***ORDER CONFIRMATION REQUIRED FROM VENDOR***

SHIP TO ATTN Josephine Briseno 512-776-7430 Josephine.Briseno@dshs.texas.gov 1100 W 49th St (DBGL) Austin TX 78756 ****SEND INVOICE TO invoices@dshs.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

Dept Of State Health Services -

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

Order Date: 6/9/2026

Internal Tracking No.: 0000406045

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61545 24609238 Staples File Folder, 1/3-Cut Tab, Letter Size, Manilla, 100/Pack

(ST62727)

Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 6/12/2026 Notes: **PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Josephine Briseno 5 1 2 - 7 7 6 - 7 4 3 0 Josephine.Briseno@dshs.texas.gov 1100 W 49th St (DBGL) Austin TX 78756

DSHS INTERNAL DELIVERY INFO:

BUILDING: Laboratory L-114 FLOOR:

2nd RM: L-204.1 CONTACT: Josephine Briseno

INTERNAL DELIVERY CODE: 4546

MPN: ST62727

Manufacturer Name: Worklife Brands

3 PACK 10.32 $30.96

2 61529 483049 BIC Wite-Out Exact Liner Correction Tape, White, 2/Pack (50744) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 6/12/2026 Notes: **PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Josephine Briseno 5 1 2 - 7 7 6 - 7 4 3 0 Josephine.Briseno@dshs.texas.gov 1100 W 49th St (DBGL) Austin TX 78756

DSHS INTERNAL DELIVERY INFO:

BUILDING: Laboratory L-114 FLOOR:

2nd RM: L-204.1 CONTACT: Josephine Briseno

INTERNAL DELIVERY CODE: 4546

MPN: WOELP21-WHI

M a nu fa c t u r e r N a m e : B I C

CORPORATION

2 PACK 3.26 $6.52

Order Date: 6/9/2026

Internal Tracking No.: 0000406045

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

3 61509 2723724 Staples Heavy Duty 4" 3-Ring View Binders, D-Ring, White, 4/Pack

(56266CT/24696CT)

Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 6/12/2026 Notes: **PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Josephine Briseno 5 1 2 - 7 7 6 - 7 4 3 0 Josephine.Briseno@dshs.texas.gov 1100 W 49th St (DBGL) Austin TX 78756

DSHS INTERNAL DELIVERY INFO:

BUILDING: Laboratory L-114 FLOOR:

2nd RM: L-204.1 CONTACT: Josephine Briseno

INTERNAL DELIVERY CODE: 4546

MPN: 56266CT/24696CT

Manufacturer Name: STAPLES

BRANDS GROUP

1 CRTN 85.14 $85.14

Total $122.62

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