26269993-0.pdf

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Attached to
TX|615-C1|26269993
Contract number
26269993
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26269993) issued by the State of Texas, Department of State Health Services (DSHS), through the Health & Human Services Commission (Agency 529), to Staples Contract & Commercial LLC. The order was placed on June 16, 2026, for delivery to the DSHS location in Harlingen, Texas, with billing directed to the San Antonio facility. The internal tracking number is 0000406847, and the primary agency contacts are Elida Rodriguez and Jose Casanova.

The purchase order covers Southworth Certificate Holders (8.5" x 11", Black, 10-pack format), manufactured by Neenah Paper Inc. (Model PF18). The order consists of 20 packs at a unit price of $7.99 per pack, for an extended total of $159.80. The goods are sourced under Contract 615-C1, a term contract with Staples, with an accelerated required order (ARO) delivery window of 3 days and an expected delivery date of June 19, 2026. The purchase is exempt from state and city sales taxes under Texas Tax Code Section 151.309(4) as property being secured for exclusive use by the State of Texas.

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Text version

Purchase Order PO No. 26269993

Order Date: 6/16/2026

Internal Tracking No.: 0000406847

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

(888) 212-7219

San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223

Elida Rodriguez

(956) 364-8270 Department of State Health Services 1401 S. Rangerville Rd.

Harlingen, TX 78552

NOTE TO CONTRACTOR: PO#: 0000406847

AGENCY CONTACT/SHIP ATTN:

Elida Rodriguez

(956) 364-8270 elida.rodriguez@hhs.texas.gov

Jose Casanova 956-364-8007 jose.casanova@hhs.texas.gov

HHS PURCHASER:

Lindsey De La Rosa lindsey.delarosa@hhs.texas.gov

AP Email: SAHAccounting@dshs.texas.gov

Invoice per 34 TAC §20.487, amended effective 5-1-22

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

Lindsey De-La-Rosa lindsey.delarosa@hhs.texas.gov (888) 479-7602

Purchase Order PO No. 26269993

Order Date: 6/16/2026

Internal Tracking No.: 0000406847

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 08078 898073 Southworth Certificate Holders, 8.5" x 11", Black, 10/Pack (PF18) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 6/19/2026

MPN: PF18

Manufacturer Name: NEENAH PAPER

INC (NSP

20 PACK 7.99 $159.80

Total $159.80

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