26297213-0.pdf
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- Attached to
- TX|615-C1|26297213
- Contract number
- 26297213
- Issued by
- Texas
About this file
Purchase Order Summary
This is a Purchase Order (PO No. 26297213) issued by the State of Texas, Department of State Health Services (DSHS), Statewide Procurement Division on July 13, 2026. The purchasing agency is DSHS Agency 537, with purchaser Debra Burns overseeing the acquisition. The contractor is Staples Contract & Commercial LLC, headquartered in Framingham, Massachusetts. The order will be shipped to the DSHS facility located at 1301 S Bowen Road, Suite 200, Arlington, Texas 76013, with Samuel J. Savala designated as the receiving contact.
The purchase order covers office supplies consisting of two line items of Zebra Z-Grip retractable ballpoint pens manufactured by Zebra Pen Corporation. Line 1 specifies four packs of assorted ink medium point pens (MPN 12224) at $5.91 per pack, totaling $23.64. Line 2 specifies three packs of black ink medium point pens (MPN 12221) at $5.91 per pack, totaling $17.73. The total order value is $41.37. Both items are procured under Contract 615-C1, a term contract with a standard delivery time of three days, with an expected delivery date of July 16, 2026. The State of Texas claims exemption from federal excise taxes and state and city sales taxes under Texas Tax Code Section 151.309(4).
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Text version
Purchase Order PO No. 26297213
Order Date: 7/13/2026
Internal Tracking No.: 0000408941
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 Savala,Samuel J
(817) 264-4502
DSHS-1301 S BOWEN RD STE 200
ARLINGTON, TX 76013
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000408941 AND ATTN CONTACT INFO ***
***ORDER CONFIRMATION REQUIRED FROM VENDOR***
SHIP TO ATTN Savala,Samuel J 817-264-4502 samuel.savala@dshs.texas.gov 1301 S Bowen Rd Ste 200 Arlington TX 76013 ****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
Purchase Order PO No. 26297213
Order Date: 7/13/2026
Internal Tracking No.: 0000408941
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 62080 678448 Zebra Z-Grip Retractable Ballpoint Pen, Medium Point, 1.0mm, Assorted Ink, 24 Pack (12224) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 7/16/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
***ORDER CONFIRMATION
REQUIRED FROM VENDOR***
SHIP TO ATTN Savala,Samuel J 8 1 7 - 2 6 4 - 4 5 0 2 samuel.savala@dshs.texas.gov 1301 S Bowen Rd Ste 200 Arlington
TX 76013
MPN: 12224
Manufacturer Name: ZEBRA PEN
CORPO
4 PACK 5.91 $23.64
2 62080 609710 Zebra Z-Grip Retractable Ballpoint Pens, Medium Point, 1.0mm, Black Ink, 24/Pack (12221) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 7/16/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
***ORDER CONFIRMATION
REQUIRED FROM VENDOR***
SHIP TO ATTN Savala,Samuel J 8 1 7 - 2 6 4 - 4 5 0 2 samuel.savala@dshs.texas.gov 1301 S Bowen Rd Ste 200 Arlington
TX 76013
MPN: 12221
Manufacturer Name: ZEBRA PEN
CORPO
3 PACK 5.91 $17.73
Total $41.37
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