27004521-0.pdf
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- Attached to
- TX|615-C1|27004521
- Contract number
- 27004521
- Issued by
- Texas
About this file
Purchase Order Summary
This is a Purchase Order (PO No. 27004521) issued by the State of Texas, Department of State Health Services (DSHS), Agency 537, dated September 29, 2026. The purchasing entity is Marissa Olvera, CTCD, CTCM, of the HHSC Statewide Procurement Division. The contractor is Staples Contract & Commercial LLC, located at 500 Staples Drive, Framingham, Massachusetts 01702. The goods are being shipped to Don Penn at 1100 W 49th Street, PO Box 149347, Suite T706, Austin, Texas 78756. The order is placed under Contract 615-C1, a term contract managed through the Texas Comptroller of Public Accounts Statewide Procurement Division.
The purchase order includes two ergonomic items: an Imak Ergo Polyester Back Support in black (MPN 643535-1855753, manufactured by Brownmed) priced at $13.80 per unit, and a Staples Ergonomic Tilt Adjustable Footrest in black (MPN 24635428-1855753, manufactured by Worklife Brands) priced at $16.79 per unit. One unit of each item is ordered, with a combined order total of $30.59. Both items are scheduled for delivery within 3 days of the order date, with a delivery date of October 2, 2026. The State of Texas is exempt from sales and excise taxes under Texas Tax Code Section 151.309(4). Invoices should be submitted to invoices@dshs.texas.gov in accordance with 34 TAC §20.487, effective May 1, 2022.
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Text version
Purchase Order PO No. 27004521
Order Date: 9/29/2026
Internal Tracking No.: 0000415736
Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702
(888) 212-7219
1100 West 49th Street
MC: 3063
Austin TX 78756
Don Penn
(512) 776-6197 1100 W 49th St PO Box 149347, Ste T706 Austin, TX 78756
NOTE TO CONTRACTOR: PO#: 0000415736
AGENCY CONTACT:
Don Penn 512-776-6197 Don.Penn@dshs.texas.gov
Ship To:
Don Penn 1100 W 49th St (DHT) PO Box 149347 Ste T706 Austin TX 78756
HHSC BUYER:
Marissa Olvera CTCD, CTCM marissa.olvera1@hhs.texas.gov
AP Email: invoices@dshs.texas.gov
Invoice per 34 TAC §20.487, amended effective 5-1-22
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 -
Marissa Olvera marissa.olvera1@hhs.texas.gov (512) 776-3309
Purchase Order PO No. 27004521
Order Date: 9/29/2026
Internal Tracking No.: 0000415736
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 61505 643535 Imak Ergo Polyester Back Support, Black (A30122) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/2/2026
MPN: 643535-1855753
Manufacturer Name: Brownmed
1 EACH 13.80 $13.80
2 60536 24635428 Staples Ergonomic Tilt Adjustable Footrest, Black Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/2/2026
MPN: 24635428-1855753
Manufacturer Name: Worklife Brands
1 EACH 16.79 $16.79
Total $30.59
File details come from the government source that posted it. Updated .