27002616-0.pdf
PDF 19 KB Posted
- Attached to
- TX|800-A1|27002616
- Contract number
- 27002616
- Issued by
- Texas
About this file
Purchase Order Summary
This is a Purchase Order (PO No. 27002616) issued by the State of Texas, Health & Human Services Commission (HHSC) to Shoe Corporation of Birmingham, Inc., a contractor located in Birmingham, Alabama. The order was placed on September 22, 2026, with an internal tracking number of 0000415173. The purchase is being fulfilled through a warehouse located in Terrell, Texas, with delivery directed to the HHSC facility in Rusk, Texas, specifically Building 605, Room 201, to the attention of Teresa Wittenburg.
The purchase order covers men's low court athletic shoes in all black leather construction, manufactured by Shoe Corporation under model number 2800, issued under Contract 800-A1 (a term contract). The order consists of five line items for various shoe sizes (8.5, 9, 11, 12, and 13), totaling 108 pairs at a unit price of $14.91 per pair, resulting in a total order value of $1,610.28. All items are scheduled for delivery within seven days of the order date (delivery date: September 29, 2026). The State of Texas is exempt from federal excise taxes and state and local sales taxes under Texas Tax Code Section 151.309(4). Invoices are to be submitted electronically to HHSCTSHAccounting@hhs.texas.gov, and all shipments must include a packing list displaying the PO number and contact information.
View the file
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Purchase Order PO No. 27002616
Order Date: 9/22/2026
Internal Tracking No.: 0000415173
Contractor Info Bill To Ship To Shoe Corporation of Birmingham, Inc.
16306356904 125 45Th Place North Birmingham, AL 35222
(205) 397-4261
Terrell SH Whse 1200 E Brin
TERRELL TX 75160
ATTN Teresa Wittenburg
(903) 683-7278
HEALTH & HUMAN SERVICES COMMISSION
805 N Dickinson Dr Rusk, TX 75785 BLDG 605, Room 201- Roberto Hernandez CONTACT: Teresa Wittenburg
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000415173 AND ATTN CONTACT INFO *** SHIP TO ATTN Teresa Wittenburg 903.683.7278 teresa.wittenburg@hhs.texas.gov 805 N Dickinson Dr Rusk TX 75785 BLDG 605, Room 201- Roberto Hernandez ***EMAIL INVOICES TO: HHSCTSHAccounting@hhs.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
Health & Human Services Commission - 529
Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564
Order Date: 9/22/2026
Internal Tracking No.: 0000415173
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 80005 80005411009 Men's Low Court Athletic Shoe, All Black, Leather Attribute 1: 8.5 Contract: 800-A1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 9/29/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Teresa Wittenburg 9 0 3 . 6 8 3 . 7 2 7 8 teresa.wittenburg@hhs.texas.gov
REG CONTRACT MANAGER
Stephany Van Bolden 972-551-8563 stephany.vanbolden@hhs.texas.gov 805 N Dickinson Dr Rusk TX 75785 BLDG 605, Room 201- Roberto Hernandez CONTACT: Teresa Wittenburg
MPN: 2800
Manufacturer Name: SHOE CORP
48 PR 14.91 $715.68
2 80005 80005411009 Men's Low Court Athletic Shoe, All Black, Leather Attribute 1: 9 Contract: 800-A1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 9/29/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Teresa Wittenburg 9 0 3 . 6 8 3 . 7 2 7 8 teresa.wittenburg@hhs.texas.gov
REG CONTRACT MANAGER
Stephany Van Bolden 972-551-8563 stephany.vanbolden@hhs.texas.gov 805 N Dickinson Dr Rusk TX 75785 BLDG 605, Room 201- Roberto Hernandez CONTACT: Teresa Wittenburg
MPN: 2800
Manufacturer Name: SHOE CORP
12 PR 14.91 $178.92
Order Date: 9/22/2026
Internal Tracking No.: 0000415173
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
3 80005 80005411009 Men's Low Court Athletic Shoe, All Black, Leather Attribute 1: 11 Contract: 800-A1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 9/29/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Teresa Wittenburg 9 0 3 . 6 8 3 . 7 2 7 8 teresa.wittenburg@hhs.texas.gov
REG CONTRACT MANAGER
Stephany Van Bolden 972-551-8563 stephany.vanbolden@hhs.texas.gov 805 N Dickinson Dr Rusk TX 75785 BLDG 605, Room 201- Roberto Hernandez CONTACT: Teresa Wittenburg
MPN: 2800
Manufacturer Name: SHOE CORP
12 PR 14.91 $178.92
4 80005 80005411009 Men's Low Court Athletic Shoe, All Black, Leather Attribute 1: 12 Contract: 800-A1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 9/29/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Teresa Wittenburg 9 0 3 . 6 8 3 . 7 2 7 8 teresa.wittenburg@hhs.texas.gov
REG CONTRACT MANAGER
Stephany Van Bolden 972-551-8563 stephany.vanbolden@hhs.texas.gov 805 N Dickinson Dr Rusk TX 75785 BLDG 605, Room 201- Roberto Hernandez CONTACT: Teresa Wittenburg
MPN: 2800
Manufacturer Name: SHOE CORP
24 PR 14.91 $357.84
Order Date: 9/22/2026
Internal Tracking No.: 0000415173
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
5 80005 80005411009 Men's Low Court Athletic Shoe, All Black, Leather Attribute 1: 13 Contract: 800-A1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 9/29/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Teresa Wittenburg 9 0 3 . 6 8 3 . 7 2 7 8 teresa.wittenburg@hhs.texas.gov
REG CONTRACT MANAGER
Stephany Van Bolden 972-551-8563 stephany.vanbolden@hhs.texas.gov 805 N Dickinson Dr Rusk TX 75785 BLDG 605, Room 201- Roberto Hernandez CONTACT: Teresa Wittenburg
MPN: 2800
Manufacturer Name: SHOE CORP
12 PR 14.91 $178.92
Total $1,610.28
File details come from the government source that posted it. Updated .