27004589-0.pdf

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Attached to
TX|615-C1|27004589
Contract number
27004589
Issued by
Texas

About this file

This is a Purchase Order (PO No. 27004589) issued by the State of Texas, Department of State Health Services (DSHS) on September 30, 2026. The ordering agency is the Health & Human Services Commission located in Austin, Texas. The contractor is Staples Contract & Commercial LLC, headquartered in Framingham, Massachusetts. The order will be shipped to the DSHS office at 1111 W North Loop, Austin, Texas 78756, with billing directed to the DSHS Fiscal Division/Accounts Payable in Austin. The purchase was facilitated through the CAPPS contract (615-C1), a statewide term contract managed by the Texas Comptroller of Public Accounts – Statewide Procurement Division. The agency contact is Gem Naivar, with the purchase processed by Desiree Fowler.

The purchase order covers two line items for HP printer ink cartridges: 15 units of HP 62XL Black High Yield Ink Cartridges (C2P05An#140) at $42.08 per unit for an extended price of $631.20, and 15 units of HP 62 Tri-Color Standard Yield Ink Cartridges (C2P06An140) at $22.09 per unit for an extended price of $331.35. The total order value is $962.55. Both items have a standard delivery timeframe of 3 days from the order date, with a delivery date of October 5, 2026. The State of Texas claims exemption from state and city sales taxes under Texas Tax Code Section 151.309(4).

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Text version

Purchase Order PO No. 27004589

Order Date: 9/30/2026

Internal Tracking No.: 0000415732

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

HEALTH & HUMAN SERVICES COMMISSION

Gem Naivar

(737) 218-7071 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: PO#: CAPPS FIN PO#0000415732

AGENCY CONTACT:

Gem Naivar Gem.naivar@dshs.texas.gov

PH: 737-218-7071

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 -

Desiree Fowler desiree.fowler@hhs.texas.gov (512) 909-4500

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 57547 1182803 Hp 62Xl Black High Yield Ink Cartridge (C2P05An#140), Print Up To 600 Pages Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/5/2026

MPN: 1182803-1855753

Manufacturer Name: HP INC.

15 EACH 42.08 $631.20

Purchase Order PO No. 27004589

Order Date: 9/30/2026

Internal Tracking No.: 0000415732

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 57547 1182802 Hp 62 Tri-Color Standard Yield Ink Cartridge (C2P06An140), Print Up To 165 Pages Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/5/2026

MPN: 1182802-1855753

Manufacturer Name: HP INC.

15 EACH 22.09 $331.35

Total $962.55

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