27003566-0.pdf

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Attached to
TX|615-C1|27003566
Contract number
27003566
Issued by
Texas

About this file

This is a Purchase Order (PO No. 27003566) issued by the State of Texas Department of State Health Services (Agency 537) on September 28, 2026. The order is placed with Staples Contract & Commercial LLC, a vendor headquartered in Framingham, Massachusetts. The purchasing agent is Debra Burns of the Texas Comptroller of Public Accounts – Statewide Procurement Division. The order is to be shipped to Jonathan Gray at the Department of State Health Services location in Austin, Texas, with invoicing directed to the department's centralized accounts payable email address.

The purchase order comprises five line items of office supplies totaling $594.56, all under Contract 615-C1 (a term contract). The items include: 24 Tops Focusnotes 1-Subject Notebooks at $4.15 each ($99.60 total); 24 Cambridge Professional 1-Subject Notebooks at $3.46 each ($83.04 total); 6 Staples Premium Vertical Sign Holders at $40.44 each ($242.64 total); 2 boxes of Pendaflex Pressboard Classification Folders at $73.20 per box ($146.40 total); and 4 packs of Staples 4" X 6" Index Cards at $5.72 per pack ($22.88 total). All items are subject to a 3-day delivery window with an expected delivery date of October 1, 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. 27003566

Order Date: 9/28/2026

Internal Tracking No.: 0000415571

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 Patterson, Jonathan Gray

(512) 776-7610 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000415571 AND ATTN CONTACT INFO ***

***ORDER CONFIRMATION REQUIRED FROM VENDOR***

SHIP TO ATTN SHIP TO ATTN Patterson,Jonathan Gray 512-776-7610 jonathan.patterson@dshs.texas.gov ****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

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 78573 901628 Tops Focusnotes 1-Subject Notebook, 9" X 11", Black (90223) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN SHIP TO ATTN

Pa t t e r s o n , J o n a t h a n G ray 5 1 2 - 7 7 6 - 7 6 1 0 jonathan.patterson@dshs.texas.gov

****REQUISITION 0000349978***

MPN: 90223

Manufacturer Name: RR DONNELLEY

24 EACH 4.15 $99.60

Order Date: 9/28/2026

Internal Tracking No.: 0000415571

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 78573 568531 Cambridge Professional 1-Subject Professional Notebook, 8.5" X 11", Wide Ruled, 80 Sheets, Black (06062) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN SHIP TO ATTN

Pa t t e r s o n , J o n a t h a n G ray 5 1 2 - 7 7 6 - 7 6 1 0 jonathan.patterson@dshs.texas.gov

****REQUISITION 0000349978***

MPN: 568531-1855753

Manufacturer Name: ACCO BRANDS-

USA LLC

24 EACH 3.46 $83.04

3 78543 614126 Staples Premium Vertical Sign Holder, 8.5" X 11", Clear Acrylic – HeavyDuty Display Stand For Retail, Offices & Front Desks Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN SHIP TO ATTN

Pa t t e r s o n , J o n a t h a n G ray 5 1 2 - 7 7 6 - 7 6 1 0 jonathan.patterson@dshs.texas.gov

****REQUISITION 0000349994***

MPN: 614126-1855753

Manufacturer Name: Test Rite 55501

6 EACH 40.44 $242.64

Order Date: 9/28/2026

Internal Tracking No.: 0000415571

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

4 61545 24629522 Pendaflex Pressboard Classification Folder, 2-Dividers, 2" Expansion, Letter Size, Green, 10/Box (1006948) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN SHIP TO ATTN

Pa t t e r s o n , J o n a t h a n G ray 5 1 2 - 7 7 6 - 7 6 1 0 jonathan.patterson@dshs.texas.gov

****REQUISITION 0000349994***

MPN: 24629522-1855753

Manufac turer Name: TOPS

PRODUCTS LLC

2 BOX 73.20 $146.40

5 61535 916355 Staples 4" X 6" Index Cards, Lined, Assorted Colors, 300/Pack (Tr51000) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/1/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN SHIP TO ATTN

Pa t t e r s o n , J o n a t h a n G ray 5 1 2 - 7 7 6 - 7 6 1 0 jonathan.patterson@dshs.texas.gov

****REQUISITION 0000349994***

MPN: ST51000-CC

Manufacturer Name: Worklife Brands

4 PACK 5.72 $22.88

Total $594.56

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