27005674-0.pdf

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Attached to
TX|615-C1|27005674
Contract number
27005674
Issued by
Texas

About this file

This is a Purchase Order (PO No. 27005674) issued by the State of Texas, Department of State Health Services (DSHS), Statewide Procurement Division, for office supplies and materials. The order was placed with Staples Contract & Commercial LLC on October 7, 2026, and is being shipped to the HHSC Warehouse in Austin, Texas, with billing directed to the Fiscal Division/Accounts Payable in Austin. The procurement falls under Contract 615-C1, a term contract, with order confirmation and specific packing list requirements mandated from the vendor.

The purchase order encompasses five line items of office supplies with a total order value of $168.71, all subject to state and city sales tax exemption. The items include Elmer's Extra Strength Washable Glue Sticks (2 packs at $16.79 each); Duracell Coppertop AAA Alkaline Batteries (1 pack at $22.00); Staples Ultra Sticky Notes, 4" x 6" (2 packs at $23.88 each); Mead 1-Subject Composition Notebooks (25 individual units at $1.85 each); and Staples Stick Highlighters, Chisel Tip (4 packs at $4.78 each). All items are scheduled for delivery within three days of the order date, with a delivery date of October 12, 2026. The order requires vendor confirmation and mandates that packing lists include the PO number and attention contact information for Terri Lemuel at (737) 255-4482.

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Text version

Purchase Order PO No. 27005674

Order Date: 10/7/2026

Internal Tracking No.: 0000416225

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

ATTN Lemuel,Terri

(737) 255-4482 1111 W North Loop Austin, TX 78756 Location: G0106A1 PH: 347-448-3190 X46608

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000416225 AND ATTN CONTACT INFO ***

***ORDER CONFIRMATION REQUIRED FROM VENDOR***

SHIP TO ATTN Lemuel,Terri 737-255-4482 Latrice terri.lemuel@dshs.texas.gov ****SEND INVOICE TO invoices@dshs.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 -

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

Order Date: 10/7/2026

Internal Tracking No.: 0000416225

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61505 806577 Elmer's Extra Strength Washable Glue Sticks, 0.28 Oz., White, 24/Pack (E554) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/12/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Lemuel,Terr i 7 3 7 - 2 5 5 - 4 4 8 2 L a t r i c e terri.lemuel@dshs.texas.gov HHSC WAREHOUSE 1111 W North Loop Austin TX 78756 Location: G0106A1 PH: 347-448-3190 X46608

MPN: 806577-1855753

Manufacturer Name: ELMERS

PRODUCTS INC.

2 PACK 16.79 $33.58

2 45006 867473 Duracell Coppertop Aaa Alkaline Battery, 24/Pack (Mn2400B240002) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/12/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Lemuel,Terr i 7 3 7 - 2 5 5 - 4 4 8 2 L a t r i c e terri.lemuel@dshs.texas.gov HHSC WAREHOUSE 1111 W North Loop Austin TX 78756 Location: G0106A1 PH: 347-448-3190 X46608

MPN: 867473-1855753

Manufacturer Name: DURACELL

DISTRIBUTING INC.

1 PACK 22.00 $22.00

Order Date: 10/7/2026

Internal Tracking No.: 0000416225

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

3 61562 24616429 Staples Ultra Sticky Notes, 4" X 6", Summer Breeze Collection, Lined, 45 Sheets/Pad, 24 Pads/Pack (St62892) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/12/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Lemuel,Terr i 7 3 7 - 2 5 5 - 4 4 8 2 L a t r i c e terri.lemuel@dshs.texas.gov HHSC WAREHOUSE 1111 W North Loop Austin TX 78756 Location: G0106A1 PH: 347-448-3190 X46608

MPN: 24616429-1855753

Manufacturer Name: Worklife Brands

2 PACK 23.88 $47.76

4 78573 2750921 Mead 1-Subject Composition Notebooks, 9.75" X 7.5", College Ruled, 100 Sheets, Black (Md09932) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/12/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Lemuel,Terr i 7 3 7 - 2 5 5 - 4 4 8 2 L a t r i c e terri.lemuel@dshs.texas.gov HHSC WAREHOUSE 1111 W North Loop Austin TX 78756 Location: G0106A1 PH: 347-448-3190 X46608

MPN: 2750921-1855753

Manufacturer Name: Acco

25 EACH 1.85 $46.25

Order Date: 10/7/2026

Internal Tracking No.: 0000416225

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

5 62090 24617946 Staples Stick Highlighters, Chisel Tip, Assorted Colors, 36 Pack – Hype Bulk Highlighting Markers For Classrooms & Offices Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/12/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Lemuel,Terr i 7 3 7 - 2 5 5 - 4 4 8 2 L a t r i c e terri.lemuel@dshs.texas.gov HHSC WAREHOUSE 1111 W North Loop Austin TX 78756 Location: G0106A1 PH: 347-448-3190 X46608

MPN: 24617946-1855753

Manufacturer Name: Worklife Brands

4 PACK 4.78 $19.12

Total $168.71

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