26269543-0.pdf

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Attached to
TX|615-C1|26269543
Contract number
26269543
Issued by
Texas

About this file

This is a Purchase Order issued by the State of Texas Health & Human Services Commission (HHSC) to Staples Contract & Commercial LLC, a commercial office supply contractor. The purchase order, numbered 26269543, was issued on June 12, 2026, with an internal tracking number of 0000406558. The order was placed by Debra Burns, the agency purchaser, and is directed for delivery to the HHSC facility in Tyler, Texas, with Darin Adams designated as the receiving contact.

The purchase order is for 20 packs of Staples 10% Recycled Smooth 2-Pocket Paper Presentation Folders with Fasteners in red (manufacturer part number ST13390-CC, manufactured by Worklife Brands). The unit price is $7.98 per pack, resulting in a total order value of $159.60. The order is placed under Staples' Term Contract 615-C1 with an anticipated delivery timeframe of three days from the order date (delivery date of June 15, 2026). The State of Texas claims exemption from all sales and excise taxes as the materials are for the exclusive use of a state agency. The contractor is required to provide order confirmation and include the purchase order number and attention contact information on all packing lists.

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Text version

Purchase Order PO No. 26269543

Order Date: 6/12/2026

Internal Tracking No.: 0000406558

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

(888) 212-7219

302 E RIECK RD-MC3135

INVOICE-HHSC

TYLER TX 75703

ATTN DARIN ADAMS

(903) 533-4258

HHSC -3303 MINEOLA HWY

TYLER, TX 75702

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000406558 AND ATTN CONTACT INFO ***

***ORDER CONFIRMATION REQUIRED FROM VENDOR***

SHIP TO ATTN DARIN ADAMS 903-533-4258 / darin.adams@hhs.texas.gov SUPER USER: michelle.dawis@hhs.texas.gov 903-509-5143 SEND INVOICES TO: reg04_admin_services@hhs.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

Health & Human Services Commission - 529

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

Purchase Order PO No. 26269543

Order Date: 6/12/2026

Internal Tracking No.: 0000406558

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61543 907800 Staples 10% Recycled Smooth 2- Pocket Paper Presentation Folder with Fasteners, Red, 10/Pack

(13390-US)

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 DARIN ADAMS

9 0 3 - 5 3 3 - 4 2 5 8 / darin.adams@hhs.texas.gov S U P E R U S E R :

m iche l l e .daw is@hhs. texas .gov 903-509-5143 Health and Human Services Commission

3303 MINEOLA HWY., TYLER, TX

75702

MPN: ST13390-CC

Manufacturer Name: Worklife Brands

20 PACK 7.98 $159.60

Total $159.60

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