27005203-0.pdf

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Attached to
TX|615-C1|27005203
Contract number
27005203
Issued by
Texas

About this file

This is a Purchase Order (PO No. 27005203) issued by the State of Texas, Department of Family and Protective Services (DFPS), to Staples Contract & Commercial LLC on October 5, 2026. The order is managed by the Texas Comptroller of Public Accounts – Statewide Procurement Division, with Debra Burns serving as the purchaser. The order is being shipped to ATTN Julian Garza at DFPS's Houston location (5425 Polk Street, Suite 160, Houston, TX 77023-1444), with billing directed to the DFPS Accounting Division in Austin.

The purchase order covers 20 units of HP 62 Black Standard Yield Ink Cartridge (Model C2P04AN#140, MPN 1182804-1855753) at a unit price of $16.89 each, for a total order value of $337.80. The order is placed under Contract 615-C1 (Term contract) with an expected delivery date of October 8, 2026 (3 days after order date). The contractor is required to provide order confirmation and a packing list showing the PO number and recipient contact information. Invoices must be sent to ACCTPOLY@DFPS.TEXAS.GOV. The State of Texas is exempt from Federal Excise Taxes and sales taxes under Texas Tax Code Section 151.309(4).

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Text version

Purchase Order PO No. 27005203

Order Date: 10/5/2026

Internal Tracking No.: 0000416012

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

(888) 212-7219

Dept Family and Protective Services DFPS Accounting Division. Mail Code E672 Austin TX 78714-9030

ATTN Garza,Julian

(713) 767-2721

DFPS - 5425 POLK ST STE 160

HOUSTON, TX 77023-1444

Cell 832-454-6451

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000416012 AND ATTN CONTACT INFO

***ORDER CONFIRMATION REQUIRED FROM VENDOR***

SHIP TO ATTN Garza,Julian 713-767-2721 Cell 832-454-6451 Julian.Garza@dfps.texas.gov 5425 Polk St Suite 180I MC: 174-1 Houston TX 77023

***SEND INVOICE TO ACCTPOLY@DFPS.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 Family And Protective Svc -

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564

Purchase Order PO No. 27005203

Order Date: 10/5/2026

Internal Tracking No.: 0000416012

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 57547 1182804 Hp 62 Black Standard Yield Ink Cartridge (C2P04An#140), Print Up To 200 Pages Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/8/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Garza,Jul ian 713-767-2721 Cell 832-454-6451 Julian.Garza@dfps.texas.gov 5425 Polk St Suite 180I MC: 174-1 Houston TX 77023

MPN: 1182804-1855753

Manufacturer Name: HP INC.

20 EACH 16.89 $337.80

Total $337.80

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