26281686-1.pdf

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Attached to
TX|615-C1|26281686
Contract number
26281686
Issued by
Texas

About this file

Purchase Order Change Notice Summary

This is a Purchase Order Change Notice (PO No. 26281686) issued by the Health and Human Services Commission (HHSC), Agency Code 529, a Texas state agency procuring through the Texas Comptroller of Public Accounts' Statewide Procurement Division. The contractor is ODP Business Solutions, LLC, located in Boca Raton, Florida. The purchase order was originally dated June 23, 2026, with an internal tracking number 0000407333. The only revision made to this PO involved a change to the agency contact from Tracy Griffith (HHSC) to Dora Reyna (DSHS), effective June 23, 2026 at 3:24 p.m. The bill-to address is 1100 W 49th Street, Austin, Texas 78756, and the ship-to address is 3407 Pony Express Way, Amarillo, Texas 79118.

The purchase order covers three office supply line items totaling $193.95, all sourced under Contract 615-C1 with a two-day delivery timeframe and scheduled delivery on June 25, 2026. The items include: 5 reams of Boise X-9 Multi-Use Printer & Copier Paper, Legal Size, at $5.71 per ream ($28.55 total); 2 dozen Uni-Ball Vision Elite Liquid Ink Rollerball Pens, Bold Point, at $18.10 per dozen ($36.20 total); and 8 packs of Pendaflex Ready-Tab Reinforced File Folders at $16.15 per pack ($129.20 total). The State of Texas is exempt from federal excise taxes and has claimed a state and city sales tax exemption under Texas Tax Code Section 151.309(4) for this purchase of tangible personal property for exclusive state use.

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Text version

Purchase Order Change Notice PO No. 26281686

Order Date: 6/23/2026

Internal Tracking No.: 0000407333

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

(832) 477-6118

1100 W 49th Street Austin TX 78756

Dora Reyna

(806) 477-1108 3407 Pony Express Way Amarillo, TX 79118 Email: Dora.Reyna@dshs.texas.gov

NOTE TO CONTRACTOR:

6/23/2026-AGENCY CONTACT:Name: Dora Reyna Phone: (806) 477-1108 Email: Dora.Reyna@dshs.texas.gov AP Email:

invoices@dshs.texas.gov Invoice per 34 TAC §20.487, amended effective May 1, 2022

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):6/23/2026 3:24 pm-Contractor note changed AGENCY CONTACT:

Name: Tracy Griffith

Phone: (210) 646-2197

Email: tracy.griffith@hhs.texas.gov

AP Email: HHSC_AP@hhsc.state.tx.us

Invoice per 34 TAC §20.487, amended effective May 1, 2022 to: AGENCY CONTACT:Name: Dora Reyna Phone: (806) 477-1108 Email: Dora.Reyna@dshs.texas.gov AP Email: invoices@dshs.texas.gov Invoice per 34 TAC §20.487, amended effective May 1, 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

Health & Human Services Commission - 529

Maricella Duran maricella.duran@hhs.texas.gov (512) 000-0000

Purchase Order Change Notice PO No. 26281686

Order Date: 6/23/2026

Internal Tracking No.: 0000407333

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

1 64533 593395 Boise X-9 Multi-Use Printer & Copier Paper, Legal Size (8 1/2In X 14In), Ream Of 500 Sheets, 92 (U.S.)

Brightness, 20 Lb, White Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: Thu Jun 25 2026

00:00:00 GMT-0700 (PDT)

MPN: OX9004

Manufacturer Name: BOISE

5 REAM 5.71 $28.55

2 62080 580327 Uni-Ball Vision Elite Liquid Ink Rollerball Pens, Bold Point, 0.8 Mm, White Barrel, Blue/Black Ink, Pack Of 12 Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: Thu Jun 25 2026

00:00:00 GMT-0700 (PDT)

MPN: 61232

Manufacturer Name: ELL BRANDS

INC.

2 DOZ 18.10 $36.20

3 61545 840117 Pendaflex Ready-Tab Reinforced File Folders, 1/3 Cut, Assorted, Letter, Manila, Pack Of 50 Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: Thu Jun 25 2026

00:00:00 GMT-0700 (PDT)

MPN: 42336

Manufacturer Name: ESSELTE CORP

8 PACK 16.15 $129.20

Total $193.95

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