26269118-0.pdf
PDF 17 KB Posted
- Attached to
- TX|615-C1|26269118
- Contract number
- 26269118
- Issued by
- Texas
About this file
This is a Purchase Order (No. 26269118) issued by the State of Texas Department of State Health Services (DSHS) on June 11, 2026. The order is placed with Staples Contract & Commercial LLC, located in Framingham, Massachusetts. The ordering agency is the Department of State Health Services – 537, with the purchaser identified as Debra Burns. The materials are to be shipped to the DSHS facility in Harlingen, Texas, with Ruben R. Garcia designated as the receiving contact.
The purchase order covers four HP high-yield ink cartridges totaling $163.84. Line items include: one HP 952XL Magenta cartridge ($37.94), one HP 952XL Cyan cartridge ($37.94), one HP 952XL Yellow cartridge ($37.94), and one HP 952XL Black cartridge ($50.02). All items are procured under Contract 615-C1, a term contract, with a 3-day delivery window and an expected delivery date of June 15, 2026. The State of Texas is exempt from all Federal Excise Taxes and state sales taxes under Texas Tax Code Section 151.309(4). Invoices are to be directed to invoices@dshs.texas.gov, and the vendor is required to provide order confirmation and include the purchase order number on all packing lists.
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Text version
Purchase Order PO No. 26269118
Order Date: 6/11/2026
Internal Tracking No.: 0000406440
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 RUBEN R. GARCIA
(956) 421-5512
DSHS-601 W SESAME DR
HARLINGEN, TX 78550
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000406440 AND ATTN CONTACT INFO ***
***ORDER CONFIRMATION REQUIRED FROM VENDOR***
SHIP TO ATTN RUBEN R. GARCIA 956-421-5512 RUBEN.GARCIA@DSHS.TEXAS.GOV
CONTACT: RAVEN KEITH 956-421-5511 RAVEN.KEITH@DSHS.TEXAS.GOV
****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: 6/11/2026
Internal Tracking No.: 0000406440
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 57547 2002711 Hp 952Xl Magenta High Yield Ink Cartridge (L0S64An140), Print Up To 1450 Pages Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 6/15/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
***ORDER CONFIRMATION
REQUIRED FROM VENDOR***
SHIP TO ATTN RUBEN R. GARCIA
9 5 6 - 4 2 1 - 5 5 1 2
RUBEN.GARCIA@DSHS.TEXAS.GO
V
C O N TAC T: R AV E N K E I T H
9 5 6 - 4 2 1 - 5 5 1 1
RAVEN.KEITH@DSHS.TEXAS.GOV
MPN: 2002711-1855753
Manufacturer Name: HP INC.
1 EACH 37.94 $37.94
2 57547 2002712 Hp 952Xl Cyan High Yield Ink Cartridge (L0S61An140), Print Up To 1450 Pages Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 6/15/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
***ORDER CONFIRMATION
REQUIRED FROM VENDOR***
SHIP TO ATTN RUBEN R. GARCIA
9 5 6 - 4 2 1 - 5 5 1 2
RUBEN.GARCIA@DSHS.TEXAS.GO
V
C O N TAC T: R AV E N K E I T H
9 5 6 - 4 2 1 - 5 5 1 1
RAVEN.KEITH@DSHS.TEXAS.GOV
MPN: 2002712-1855753
Manufacturer Name: HP INC.
1 EACH 37.94 $37.94
Order Date: 6/11/2026
Internal Tracking No.: 0000406440
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
3 57547 2002710 Hp 952Xl Yellow High Yield Ink Cartridge (L0S67An140), Print Up To 1450 Pages Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 6/15/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
***ORDER CONFIRMATION
REQUIRED FROM VENDOR***
SHIP TO ATTN RUBEN R. GARCIA
9 5 6 - 4 2 1 - 5 5 1 2
RUBEN.GARCIA@DSHS.TEXAS.GO
V
C O N TAC T: R AV E N K E I T H
9 5 6 - 4 2 1 - 5 5 1 1
RAVEN.KEITH@DSHS.TEXAS.GOV
MPN: 2002710-1855753
Manufacturer Name: HP INC.
1 EACH 37.94 $37.94
4 57547 2002713 Hp 952Xl Black High Yield Ink Cartridge (F6U19An140), Print Up To 2000 Pages Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 6/15/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
***ORDER CONFIRMATION
REQUIRED FROM VENDOR***
SHIP TO ATTN RUBEN R. GARCIA
9 5 6 - 4 2 1 - 5 5 1 2
RUBEN.GARCIA@DSHS.TEXAS.GO
V
C O N TAC T: R AV E N K E I T H
9 5 6 - 4 2 1 - 5 5 1 1
RAVEN.KEITH@DSHS.TEXAS.GOV
MPN: 2002713-1855753
Manufacturer Name: HP INC.
1 EACH 50.02 $50.02
Total $163.84
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