27004701-0.pdf

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Attached to
TX|615-C1|27004701
Contract number
27004701
Issued by
Texas

About this file

This is a Purchase Order (PO No. 27004701) issued by the Texas Health & Human Services Commission (HHSC), Agency 529, on September 30, 2026. The ordering entity is the Health & Human Services Commission in San Antonio, Texas, with the warehouse supervisor Mario Gonzales serving as the agency contact. The contractor is Staples Contract & Commercial LLC, headquartered in Framingham, Massachusetts. Delivery is designated to the Rio Grande SH Warehouse located at 1401 S. Rangerville Road, Harlingen, Texas 78552. The HHSC buyer is Carlos M Mojica, who can be reached at Carlos.mojica01@hhs.texas.gov or (512) 705-1880.

The purchase order comprises two line items totaling $551.50. Line 1 includes 20 packs of Staples Economy #32 Rubber Bands (900/Pack) at $7.85 per pack, totaling $157.00, under Contract 615-C1 with a three-day delivery window and expected delivery date of October 5, 2026. Line 2 includes 30 units of Tongue Blades, 6-inch nonsterile wood (500 per box) at $13.15 per unit, totaling $394.50, also under Contract 615-C1 with the same three-day delivery window and October 5, 2026 delivery date. Both items are procured under a term contract type. The State of Texas claims an exemption from sales and excise taxes under Texas Tax Code Section 151.309(4) for this purchase of tangible personal property.

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Text version

Purchase Order PO No. 27004701

Order Date: 9/30/2026

Internal Tracking No.: HHSTX-7-0000415789

Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702

(888) 212-7219

San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223

Mario Gonzales

(903) 683-7116 Rio Grande SH Whse 1401 S. Rangerville Rd Harlingen, TX 78552

NOTE TO CONTRACTOR: PO#: HHSTX-7-0000415789

AGENCY CONTACT:

Whse Supvr Mario Gonzales Ph - 956-364-8321 mario.gonzales@hhs.texas.gov

HHSC BUYER:

Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov

DELIVERY:

Rio Grande SH Whse 1401 S Rangerville Rd Harlingen, Tx 78552

Invoice per 34 TAC §20.487, amended effective May 1, 2022

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

Carlos-M Mojica carlos.mojica01@hhs.texas.gov (512) 705-1880

Purchase Order PO No. 27004701

Order Date: 9/30/2026

Internal Tracking No.: HHSTX-7-0000415789

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61575 808618 Staples Economy #32 Rubber Bands, 900/Pack (28613-Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/5/2026

MPN: ST28613

Manufacturer Name: STAPLES

BRANDS GROUP

20 PACK 7.85 $157.00

2 78532 MIIMDS202065 Tongue Blade, 6", Nonsterile, 500/Bx, Wood Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/5/2026

MPN: MIIMDS202065-1855753

Manufacturer Name: SP Richards (Phili Distro)

30 EACH 13.15 $394.50

Total $551.50

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