27004892-0.pdf

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Attached to
TX|615-C1|27004892
Contract number
27004892
Issued by
Texas

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Purchase Order Summary

This is a Purchase Order (PO No. 27004892) issued by the State of Texas, Department of State Health Services (DSHS), on October 1, 2026. The ordering agency is located in Austin, Texas, and the purchase is being made through Staples Contract & Commercial LLC, a commercial supplier based in Framingham, Massachusetts. The purchase order was processed by Marissa Olvera, the HHSC Buyer, with Timothy Corcoran serving as the agency contact. The order is being shipped to the DSHS Laboratory L114 on the 2nd Floor at 1100 West 49th Street in Austin, Texas. All items are sourced under Staples Contract 615-C1, a term contract arrangement.

The purchase order covers four line items of office and laboratory supplies with a total contract value of $230.22. The items include three boxes of Avery Hanging Style Laser/Inkjet Name Badge Kits ($195.24), three rolls of Duck General Purpose Heavy Duty Masking Tape ($8.04), one dozen Uni-Ball 207 Retractable Gel Pens ($10.74), and one pack of Westcott Titanium Bonded 8-inch scissors ($16.20). All items are scheduled for delivery within three days of the order date, with a confirmed delivery date of October 5, 2026. The State of Texas is exempt from all applicable federal excise taxes and sales taxes under Texas Tax Code Section 151.309(4).

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Purchase Order PO No. 27004892

Order Date: 10/1/2026

Internal Tracking No.: 0000415858

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

Tim Corcoran

(512) 776-7581

1100 W 49TH ST

Laboratory L114 FLOOR: 2nd

AUSTIN, TX 78756-3101

NOTE TO CONTRACTOR: PO#: 0000415858

AGENCY CONTACT:

Timothy Corcoran 512-776-7581 Timothy.Corcoran@dshs.texas.gov

Ship To:

Timothy Corcoran 1100 W 49th St PO Box 149347 Austin Tx, 78756

HHSC BUYER:

Marissa Olvera CTCD, CTCM marissa.olvera1@hhs.texas.gov

AP Email: LabAccounting@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. 27004892

Order Date: 10/1/2026

Internal Tracking No.: 0000415858

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 08010 461147 Avery Hanging Style Laser/Inkjet Name Badge Kit, 3" X 4", Clear Holders With White Inserts, 100/Box (74459) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/5/2026

MPN: 74459

Manufacturer Name: Avery Products Corporation

3 BOX 65.08 $195.24

2 64043 835819 Duck General Purpose Heavy Duty Masking Tape, 0.94" X 60 Yds., Beige (286509) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/5/2026

MPN: 286509

Manufacturer Name: SHURTECH

BRANDS

3 ROLL 2.68 $8.04

3 62080 598880 Uni-Ball 207 Retractable Gel Pens, Micro Point, 0.5Mm, Blue Ink, Dozen (61256) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/5/2026

MPN: 61256

Manufacturer Name: UNI-BALL

CORPORATION

1 DOZ 10.74 $10.74

4 61560 24395089 Westcott Titanium Bonded 8" Titanium Multi-Purpose/Heavy Duty Scissor, Pointed Tip, Gray/Yellow, 3/Pack (17532) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/5/2026

MPN: 17532

Manufacturer Name: ACME UNITED

CORP.

1 PACK 16.20 $16.20

Total $230.22

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