27005215-0.pdf
PDF 16 KB Posted
- Attached to
- TX|615-C1|27005215
- Contract number
- 27005215
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 27005215) issued by the State of Texas, Health & Human Services Commission on October 5, 2026. The order is placed with Staples Contract & Commercial LLC, a contractor based in Framingham, Massachusetts. The shipment is directed to the Austin State Hospital Warehouse (Austin SH Whse) located at 4301 N Lamar Boulevard, Austin, Texas, with billing to the Brenham SSLC facility in Brenham, Texas. The purchasing agent is Debra Burns of the Health & Human Services Commission (Agency Code 529), with oversight and coordination managed by multiple state contacts including Gabriele Dangerfield, Daniel Davila, Robin Larson, and Michelle French.
The purchase order covers two line items totaling $25.24: a Brother Desktop Charger (Model Ad24, Part No. 407288-1855753) priced at $15.29, and a Transportation and Freight Charge of $9.95. Both items are procured under Contract 615-C1, a term contract with a three-day delivery window, with delivery scheduled for October 8, 2026. The order requires vendor confirmation and a packing list displaying the PO number and contact information. All invoices are to be submitted via email to 712Accounting@hhs.texas.gov. The State of Texas claims a sales tax exemption 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. 27005215
Order Date: 10/5/2026
Internal Tracking No.: 0000416017
Contractor Info Bill To Ship To Staples Contract & Commercial LLC 10433908166 500 Staples Drive Framingham, MA 01702
(888) 212-7219
Brenham SSLC 4001 Highway 36 South Brenham TX 77833
ATTN Gabriele Dangerfield
(512) 419-2663 Austin SH Whse 4301 N Lamar Blvd
AUSTIN, TX 78756-3709
BUILDING Warehouse CONTACT Daniel Davila
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000416017 AND ATTN CONTACT INFO ***
***ORDER CONFIRMATION REQUIRED FROM VENDOR***
SHIP TO ATTN Gabriele Dangerfield 512-419-2663 Gabriele.Dangerfield@hhs.texas.gov RECIPIENT Daniel Davila 512-419-2940 Daniel.DavilaJr@hhs.texas.gov ***SEND INVOICES VIA EMAIL TO 712Accounting@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
Health & Human Services Commission - 529
Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564
Purchase Order PO No. 27005215
Order Date: 10/5/2026
Internal Tracking No.: 0000416017
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 60530 407288 Brother Desktop Charger (Ad24) 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 Gabriele Dangerfield 5 1 2 - 4 1 9 - 2 6 6 3 Gabriele.Dangerfield@hhs.texas.gov RECIP IENT Dan ie l Dav i l a 5 1 2 - 4 1 9 - 2 9 4 0 Daniel.DavilaJr@hhs.texas.gov SME Agency Contact Robin Larson 5 1 2 - 4 1 9 - 2 9 3 2 Elizabeth.Larson@hhs.texas.gov Contract Manager Michelle French 2 5 4 - 5 6 2 - 1 0 8 5 Michelle.French@hhs.texas.gov Austin State Hospital 4301 N Lamar Blvd. Bldg 800 Austin TX 78756
MPN: 407288-1855753
Manufacturer Name: BROTHER
INTERNA
1 EACH 15.29 $15.29
2 60530 407288 Transportation and Freight Charge Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/8/2026 Notes: FEE BELOW MINIMUM
ORDER REQUIREMENT
1 EACH 9.95 $9.95
Total $25.24
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