27007401-0.pdf

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Attached to
TX|615-C1|27007401
Contract number
27007401
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 27007401) issued by the State of Texas Health and Human Services Commission (HHSC), Agency 529, on October 14, 2026. The purchasing agent is Debra Burns. The contractor is Staples Contract & Commercial LLC, located in Framingham, Massachusetts. The order will be shipped to the HHSC warehouse at 1111 W North Loop, Austin, Texas 78756, with delivery directed to Angel Basilio Rivera. The State of Texas claims exemption from sales and excise taxes under Texas Tax Code Section 151.309(4).

The purchase order covers two units of 3M Gel Non-Skid Wrist Rest For Keyboards, Black (Model WR309Le), identified by supplier part number 683876 and MPN 683876-1855753, under Contract 615-C1 (Term Contract). The unit price is $28.08 per item, with an extended price of $56.16 for the total quantity ordered. The expected delivery date is October 19, 2026, with an estimated delivery window of three days. The vendor is required to provide order confirmation and include the PO number and contact information on all packing lists. Invoices should be sent to ap@hhsc.texas.gov.

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Text version

Purchase Order PO No. 27007401

Order Date: 10/14/2026

Internal Tracking No.: 0000416599

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

(888) 212-7219

Health and Human Services Commission 4601 Guadalupe St Austin TX 78751

ATTN Rivera,Angel Basilio

(512) 438-3512

1111 W NORTH LOOP

Austin, TX 78756

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000416599 AND ATTN CONTACT INFO

***ORDER CONFIRMATION REQUIRED FROM VENDOR***

SHIP TO ATTN Rivera,Angel Basilio 512-438-3512 angel.rivera@hhs.texas.gov ***SEND INVOICE TO ap@hhsc.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. 27007401

Order Date: 10/14/2026

Internal Tracking No.: 0000416599

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 64561 683876 3M Gel Non-Skid Wrist Rest For Keyboards, Black (Wr309Le) Contract: 615-C1 Contract Type: Term Delivery ARO (days): 3 Delivery Date: 10/19/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

***ORDER CONFIRMATION

REQUIRED FROM VENDOR***

SHIP TO ATTN Rivera,Angel Basilio 5 1 2 - 4 3 8 - 3 5 1 2 angel.rivera@hhs.texas.gov HHSC WAREHOUSE 1111 W North Loop Austin TX 78756

MPN: 683876-1855753

M a n u fa c t u r e r N a m e : 3 M

CORPORATION

2 EACH 28.08 $56.16

Total $56.16

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