27004878-0.pdf

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Attached to
TX|615-C1|27004878
Contract number
27004878
Issued by
Texas

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Purchase Order Summary

This is a Purchase Order (PO No. 27004878) issued by the State of Texas, Department of State Health Services (Agency 537), on October 1, 2026. The order is placed with Staples Contract & Commercial LLC, headquartered in Framingham, Massachusetts. The HHSC buyer is Joseph Torres, and the agency contact is Anna P. Macias Tandi at the DSHS-South Texas Laboratory located in Harlingen, Texas. The order falls under Contract 615-C1, a term contract procured through the Texas Comptroller of Public Accounts Statewide Procurement Division.

The purchase order encompasses nine line items totaling $502.49, all with a standardized delivery timeframe of three days and an expected delivery date of October 5, 2026. The items consist of office and laboratory supplies including printer consumables (one Clover Technologies remanufactured Brother drum unit at $59.76 and four Hewlett Packard 210A toner cartridges in black, cyan, yellow, and magenta at $102.32 each or $84.81 for black), one Fellowes plastic copy holder ($28.58), and writing instruments (one dozen Paper Mate Profile pens at $7.46, one dozen BIC Glide Bold black pens at $7.46, and one dozen BIC Glide Bold blue pens at $7.46). The State of Texas is exempt from federal excise taxes and state and local sales taxes under Texas Tax Code Section 151.309(4).

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Purchase Order PO No. 27004878

Order Date: 10/1/2026

Internal Tracking No.: HHSTX-7-0000415845

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

Anna P. Macias Tandi

(956) 364-8159 1301 S Rangerville Rd Harlingen, TX 78552

NOTE TO CONTRACTOR: PO#: HHSTX-7-0000415845

AGENCY CONTACT:

Anna P. Macias Tandi 956-364-8159 anna.maciastandi@dshs.texas.gov

Ship to Attn:

Anna P. Macias Tandi DSHS-South Texas Laboratory

MC 1909

Building: 505

INVOICING:

invoices@dshs.texas.gov

HHSC BUYER:

Joseph Torres, CTCD, CTCM 512-406-2413 Joseph.Torres@HHS.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 -

Joseph Torres joseph.torres@hhs.texas.gov (512) 771-7042

Order Date: 10/1/2026

Internal Tracking No.: HHSTX-7-0000415845

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 57547 24479215 Staples Remanufactured Black Standard Yie ld Drum Unit Replacement For Brother Dr 820 (Stdr820) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/5/2026

MPN: STDR820

Manufacturer Name: CLOVER

TECHNOLOGIES GROUP, LLC

1 EACH 59.76 $59.76

2 20772 24556288 Hp 210A Black Standard Yield Toner Cartridge, Prints Up To 2,000 Pages (W2100A) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/5/2026

MPN: W2100A

Manufacturer Name: HEWLETT

PACKARD

1 EACH 84.81 $84.81

3 20772 24556286 Hp 210A Cyan Standard Yield Toner Cartridge, Prints Up To 1,800 Pages (W2101A) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/5/2026

MPN: W2101A

Manufacturer Name: HEWLETT

PACKARD

1 EACH 102.32 $102.32

4 20772 24556280 Hp 210A Yellow Standard Yield Toner Cartridge, Prints Up To 1,800 Pages (W2102A) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/5/2026

MPN: W2102A

Manufacturer Name: HEWLETT

PACKARD

1 EACH 102.32 $102.32

Order Date: 10/1/2026

Internal Tracking No.: HHSTX-7-0000415845

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

5 20772 24556290 Hp 210A Magenta Standard Yield Toner Cartridge, Prints Up To 1,800 Pages (W2103A) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/5/2026

MPN: W2103A

Manufacturer Name: HEWLETT

PACKARD

1 EACH 102.32 $102.32

6 78543 490605 Fellowes Plastic Copy Holder, Platinum (21103) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/5/2026

MPN: 490605-1855753

Manufacturer Name: FELLOWES

1 EACH 28.58 $28.58

7 62080 612886 Paper Mate Profile Retractable Ballpoint Pen, Bold Point, Red Ink, Dozen (89467) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/5/2026

MPN: 89467

Manufacturer Name: SANFORD

CORP

1 DOZ 7.46 $7.46

8 62080 892143 Bic Glide Bold Retractable Ballpoint Pen, Bold Point, 1.6Mm, Black Ink, Dozen (18510/Vlgb11Bk) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/5/2026

MPN: VLGB11-BLK

M a nu fa c t u r e r N a m e : B I C

CORPORATION

1 DOZ 7.46 $7.46

9 62080 892144 Bic Glide Bold Retractable Ballpoint Pens, Bold Point, 1.6Mm, Blue Ink, Dozen (18509/Vlgb11Be) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/5/2026

MPN: VLGB11-BLU

M a nu fa c t u r e r N a m e : B I C

CORPORATION

1 DOZ 7.46 $7.46

Order Date: 10/1/2026

Internal Tracking No.: HHSTX-7-0000415845

Total $502.49

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