27006797-0.pdf

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Attached to
TX|615-C1|27006797
Contract number
27006797
Issued by
Texas

About this file

This is a Purchase Order (PO No. 27006797) issued by the State of Texas, Department of State Health Services (Agency 537), to Staples Contract & Commercial LLC. The order was placed on October 9, 2026, by purchaser JaVorashay Johnson through the Texas Comptroller of Public Accounts – Statewide Procurement Division. The shipping destination is Gem Naivar at 1111 W North Loop, Austin, TX 78756, with billing directed to the Fiscal Division/Accounts Payable in Austin, Texas.

The purchase order contains two line items totaling $82.74, both under Contract 615-C1 (Term contract type) with a three-day delivery window, scheduled for October 12, 2026. Line 1 specifies 24 units of Staples 1-Subject Composition Notebooks (7.5" x 9.75", College Ruled, 100 Sheets) manufactured by Worklife Brands at $2.46 per unit, totaling $59.04. Line 2 specifies 5 units of Staples Plastic Storage Clipboard, Letter Size, Black, also manufactured by Worklife Brands at $4.74 per unit, totaling $23.70. The State of Texas claims a sales tax exemption under Texas Tax Code Section 151.309(4), and all invoices are to be directed to invoices@dshs.texas.gov.

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Text version

Purchase Order PO No. 27006797

Order Date: 10/9/2026

Internal Tracking No.: HHSTX-7-0000416374

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

Gem Naivar

(737) 218-7071 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: Agency Contact: Gem Naivar P: 737-218-7071 E: gem.naivar@dshs.texas.gov VENDORS, PLEASE SEND INVOICES TO: invoices@dshs.texas.gov Delivery hours are from 8:00-11:30 AM and 1:00-4:30 PM Monday through Friday except for designated State Holidays when the Warehouse is closed. Contact “agency contact” for delivery questions.

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 -

JaVorashay Johnson JaVorashay.Johnson03@hhs.texas.gov (512) 406-2563

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 78573 572549 Staples 1-Subject Composition Notebooks, 7.5" X 9.75", College Ruled, 100 Sheets (St55063C) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/12/2026

MPN: ST55063M

Manufacturer Name: Worklife Brands

24 EACH 2.46 $59.04

Purchase Order PO No. 27006797

Order Date: 10/9/2026

Internal Tracking No.: HHSTX-7-0000416374

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 61525 1671311 Staples Plastic Storage Clipboard, Letter Size, Black (St28543-Cc) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/12/2026

MPN: ST28543T

Manufacturer Name: Worklife Brands

5 EACH 4.74 $23.70

Total $82.74

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