26287095-0.pdf
PDF 17 KB Posted
- Attached to
- TX|615-C1|26287095
- Contract number
- 26287095
- Issued by
- Texas
About this file
Purchase Order Summary
This is a Purchase Order (PO No. 26287095) issued by the State of Texas, Department of State Health Services (DSHS), through the Health and Human Services Commission (HHSC) Statewide Procurement Division. The order was placed with Staples Contract & Commercial LLC, headquartered in Framingham, Massachusetts, on June 25, 2026. Delivery is scheduled to the DSHS facility at 7430 Louis Pasteur Drive in San Antonio, Texas. The procurement was managed by Carlos M Mojica (HHSC Buyer) and coordinated with Yesenia Wolfrum (Agency Contact).
The purchase encompasses eight line items of office supplies totaling $206.98, all sourced under Contract 615-C1 (Term Contract) with a standard delivery timeframe of three business days. Items include memo pads, finger pads, gel pens, correction tape, permanent markers, and highlighters from manufacturers including Essendant, Cosco, Pentel, BIC, Sanford Corp, and Lee Products. All items are scheduled for delivery by June 29, 2026. The State of Texas claims exemption from federal excise taxes and state and city sales taxes pursuant to Texas Tax Code Section 151.309(4), as the materials are purchased for exclusive use by a state agency. Invoicing procedures follow 34 TAC §20.487, effective May 1, 2022.
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Text version
Purchase Order PO No. 26287095
Order Date: 6/25/2026
Internal Tracking No.: HHSTX-6-0000407506
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
Yesenia Wolfrum
(210) 949-2008
DSHS-7430 LOUIS PASTEUR
SAN ANTONIO, TX 78229
NOTE TO CONTRACTOR: PO#: HHSTX-6-0000407506
AGENCY CONTACT:
Yesenia Wolfrum yesenia.wolfrum@dshs.texas.gov 210-949-2008
HHSC BUYER:
Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov
DELIVERY:
7430 Louis Pasteur Dr San Antonio TX 78229
Invoice per 34 TAC §20.487, amended effective May 1, 2022
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 -
Carlos Mojica carlos.mojica01@hhs.texas.gov (512) 705-1880
Order Date: 6/25/2026
Internal Tracking No.: HHSTX-6-0000407506
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 78573 TOP2170 TOPS Things To Do Today Memo Pad, 8.5" x 11", White, 100 Sheets/Pad (TOP 2170) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 6/29/2026
MPN: TOP-2170
Manufacturer Name: Essendant
6 PAD 12.55 $75.30
2 60546 506139 Cosco Small Finger Pad, Orange, Dozen (098172) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 6/29/2026
MPN: 98172
Manufacturer Name: Cosco
4 DOZ 1.23 $4.92
3 62080 1145057 Pentel EnerGel RTX Retractable Gel Pen, Medium Point, Green Ink
(BL77-D)
Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 6/29/2026
MPN: BL77-D
Manufacturer Name: PENTEL OF
AMERICA LTD
12 EACH 1.27 $15.24
4 62080 807741 Pentel EnerGel Deluxe RTX Retractable Gel Pens, Fine Point, Black, Dozen (BLN75-A) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 6/29/2026
MPN: BLN75A
Manufacturer Name: PENTEL OF
AMERICA LTD
2 DOZ 15.34 $30.68
5 60546 901561 Sortkwik 0.38 oz. Fingertip Moistener, Pink, 3/Pack (LEE10053) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 6/29/2026
MPN: LEE10053
Manufacturer Name: LEE PRODUCTS
6 PACK 2.06 $12.36
Order Date: 6/25/2026
Internal Tracking No.: HHSTX-6-0000407506
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
6 61560 752369 Sharpie Permanent Markers, Ultra Fine Tip, Assorted, 24/Pack (75847) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 6/29/2026
MPN: 75847
Manufacturer Name: SANFORD
CORP
2 PACK 15.91 $31.82
7 61529 385550 BIC Wite-Out Correction Tape, White, 4/Pack (50589) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 6/29/2026
MPN: WOTAPP418-WHI
M a nu fa c t u r e r N a m e : B I C
CORPORATION
2 PACK 5.21 $10.42
8 61560 614200 Sharpie Retractable Highlighter, Chisel Tip, Assorted, 8/Pack (28101) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 6/29/2026
MPN: 28101
Manufacturer Name: SANFORD
CORP
4 PACK 6.56 $26.24
Total $206.98
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