26302314-0.pdf

Purchase Order PO No. 26302314

Order Date: 7/15/2026

Internal Tracking No.: 0000409159

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

(832) 477-6118

1100 West 49th Street

MC: 3063

Austin TX 78756

Items to be shipped to multiple addresses. See shipping details below for each line item.

NOTE TO CONTRACTOR: AGENCY CONTACT:

Name: Patsy Cortez Email: Patsy.Cortez@dshs.texas.gov Number: +1 (512) 776-7376

AP Email: invoices@dshs.texas.gov

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 -

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

Order Date: 7/15/2026

Internal Tracking No.: 0000409159

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62080 193080 Uni-Ball Vision Rollerball Pens, Fine Point, 0.7 Mm, Gray Barrel, Black Ink, Pack Of 12 Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: 7/17/2026 Ship to Address:

Patsy Cortez

(512) 776-7376 1111 W North Loop Austin, TX 78756 Email: Patsy.Cortez@dshs.texas.gov

MPN: 60126

Manufacturer Name: MITSUBISHI

PENCIL COMPANY, LTD.

3 DOZ 16.15 $48.45

2 62080 755681 Pentel Energel Rtx Retractable Liquid Gel Pens, Medium Point, 0.7 Mm, Assorted Colors, Pack Of 12 Pens Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: 7/17/2026 Ship to Address:

Patricia Cortez

(512) 776-7376 1111 W North Loop Austin, TX 78756 Email: Patsy.Cortez@dshs.texas.gov

MPN: BL77BP12M

Manufacturer Name: PENTEL OF

AMERICA, LTD.

1 PACK 16.27 $16.27

Order Date: 7/15/2026

Internal Tracking No.: 0000409159

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

3 62080 206883 Pilot Precise V5 Liquid Ink Retractable Rollerball Pens, Extra Fine Point, 0.5 Mm, Black Barrels, Black Ink, Pack Of 12 Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: 7/17/2026 Ship to Address:

Patricia Cortez

(512) 776-7376 1111 W North Loop Austin, TX 78756 Email: Patsy.Cortez@dshs.texas.gov

MPN: 206883DZ

Manufacturer Name: PILOT

CORPORATION OF AMERICA

1 DOZ 13.00 $13.00

4 62080 9027359 Pilot G2 Retractable Gel Pens, Pack Of 36, Bold Point, 1.0 Mm, Clear Barrel, Black Ink Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: 7/17/2026 Ship to Address:

Patricia Cortez

(512) 776-7376 1111 W North Loop Austin, TX 78756 Email: Patsy.Cortez@dshs.texas.gov

MPN: 84095

Manufacturer Name: PILOT

CORPORATION OF AMERICA

1 PACK 33.25 $33.25

5 61562 272176 Post-It Pop Up Notes, 12 Pads, 100 Sheets, 3 In X 3 In, Clean Removal, School Supplies & Office Products - R330Nalt Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: 7/17/2026 Ship to Address:

Patricia Cortez

(512) 776-7376 1111 W North Loop Austin, TX 78756 Email: Patsy.Cortez@dshs.texas.gov

MPN: R330-N-ALT

Manufacturer Name: 3M CO

1 PACK 9.07 $9.07

Order Date: 7/15/2026

Internal Tracking No.: 0000409159

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

6 61562 963454 Tops Docket Writing Pads, 8 1/2In X 11 3/4In, Legal Ruled, 50 Sheets Per Pad, White, Pack Of 12 Pads Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: 7/17/2026 Ship to Address:

Patricia Cortez

(512) 776-7376 1111 W North Loop Austin, TX 78756 Email: Patsy.Cortez@dshs.texas.gov

MPN: 63410

Manufac turer Name: TOPS

BUSINESS FORMS

1 DOZ 36.70 $36.70

7 64060 321262 Highmark Heavy-Duty Plastic Cutlery, Clear, Pack Of 192 Utensils Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: 7/17/2026 Ship to Address:

Patricia Cortez

(512) 776-7376 1111 W North Loop Austin, TX 78756 Email: Patsy.Cortez@dshs.texas.gov

MPN: 3585490692

Manufacturer Name: OFFICE DEPOT

1 EACH 13.92 $13.92

8 78573 161360 Cambridge Limited 30% Recycled Business Notebook, 6 5/8In X 9 1/2In, 1 Subject, Legal Ruled, 80 Sheets, Black (06672) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: 7/17/2026 Ship to Address:

Patricia Cortez

(512) 776-7376 1111 W North Loop Austin, TX 78756 Email: Patsy.Cortez@dshs.texas.gov

MPN: 06672

Manufacturer Name: ACCO BRANDS

USA, LLC

2 EACH 3.09 $6.18

Order Date: 7/15/2026

Internal Tracking No.: 0000409159

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

9 78530 925531 Sharpie Permanent Fine-Point Markers, Assorted Colors, Pack Of 12 Markers Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: 7/17/2026 Ship to Address:

Patricia Cortez

(512) 776-7376 1111 W North Loop Austin, TX 78756 Email: Patsy.Cortez@dshs.texas.gov

MPN: 30075

Manufacturer Name: NEWELL

BRANDS INC.

1 PACK 8.00 $8.00

10 61562 336977 Post-It Super Sticky Notes, 3 In X 3 In, 24 Pads, 70 Sheets/Pad, 2X The Sticking Power, School And Office Supplies, Supernova Neons Contract: 615-C1 Contract Type: Term Delivery ARO (days): 2 Delivery Date: 7/17/2026 Ship to Address:

Patricia Cortez

(512) 776-7376 1111 W North Loop Austin, TX 78756 Email: Patsy.Cortez@dshs.texas.gov

MPN: 654-24SSMIA-CP

Manufacturer Name: 3M CO

2 PACK 13.40 $26.80

Total $211.64