27003311-0.pdf

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Attached to
TX|640-A1|27003311
Contract number
27003311
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 27003311) issued by the State of Texas Health & Human Services Commission (Agency 529) on September 25, 2026. The ordering party is Carmen Hernandez, Agency Purchaser, and the contractor is Pollock Paper Distributors, located at 1 Pollock Place, Grand Prairie, Texas 75050. The order is designated for delivery to two Texas warehouse locations: Terrell SH Whse (1200 E Brin, Terrell, TX 75160) and NTSH-Wichita Falls Whse (6515 Kemp Blvd, Wichita Falls, TX 76308), with Stacy Ward serving as the Warehouse Supervisor for both locations.

The purchase order covers 100 cases of 6-inch medium weight plastic forks (white, 1,000 forks per case) manufactured by AMERCARE under part number P1203W. The unit price is $6.14 per case, with an extended price of $614.00 for the total order. The commodity code is 64060, and the order is placed under Contract 640-A1, a term contract with an Acceptable Rate of Offer (ARO) delivery window of 14 days, with a scheduled delivery date of October 9, 2026. Delivery is available Monday through Friday from 8:00-11:30 AM and 1:00-4:30 PM, excluding designated state holidays. The State of Texas claims a sales tax exemption under Texas Tax Code Section 151.309(4).

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Text version

Purchase Order PO No. 27003311

Order Date: 9/25/2026

Internal Tracking No.: PO#0000415463

Contractor Info Bill To Ship To Pollock Paper Distributors 17510154069 1 Pollock Place Grand Prairie, TX 75050

(972) 337-3681

Terrell SH Whse 1200 E Brin

TERRELL TX 75160

Stacy Ward, Warehouse Supervisor

(940) 689-5589 NTSH-Wichita Falls Whse 6515 Kemp Blvd

WICHITA FALLS, TX 76308

Please contact warehouse supervisor to schedule delivery.

NOTE TO CONTRACTOR: Stacy Ward, Warehouse Supervisor Ph: 940-689-5311/ 940-689-5589 Email: Stacy.Ward@hhs.texas.gov AP: hhsctshaccounting@hhs.texas.gov DELIVERY: 8-11:30am & 1-4:30pm M-F except designated State Holidays when closed.

Invoice per 34 TAC §20.487, amended effective 5-1 -22. Contact Whse Supervisor to schedule delivery.

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

Carmen Hernandez carmen.hernandez1@hhs.texas.gov (512) 000-0000

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 64060 64060920101 Forks, 6 In, Plastic Ware, Medium Weight, White, 1,000 Forks/Cs Contract: 640-A1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/9/2026

MPN: P1203W

Manufacturer Name: AMERCARE

100 CASE 6.14 $614.00

Total $614.00

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