26002281-0.pdf

Purchase Order PO No. 26002281

Order Date: 9/17/2025

Internal Tracking No.: 0000385579

Contractor Info Bill To Ship To Mono Machines LLC dba Supply Chimp 12634995182 228 Park Ave S New York, NY 10003

(800) 592-1306

PO BOX 149347

Fiscal Division/Accounts Payable

AUSTIN TX 78714-9347

Lamisha Williams

(512) 776-2641 1111 W North Loop Austin TX 78756

NOTE TO CONTRACTOR: CONTACT:

Lamisha Williams 512-776-2641 Lamisha.Williams@dshs.texas.gov

TXMAS-24-61501

HHS REQ: 313734

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 -

Sharonda Holton Sharonda.holton@hhs.texas.gov (512) 406-2464

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Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 48553 21112 Potent Dust-Removing Power For Practically Any Task. For Cleaning Technology Like Keyboards, Laptops And Cpus. Also Cleaning Items In The Home Such As Collectibles, Window Blinds, Lamp Shades, Craft Projects And Sewing Machines.

Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 9/22/2025

MPN: FALDPSJMB

Manufacturer Name: Dust-Off

3 EACH 14.14 $42.42

Order Date: 9/17/2025

Internal Tracking No.: 0000385579

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Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 45006 21048 Energizer En91 Industrial Alkaline Batteries, Aa, 24 Batteries/Box Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 9/22/2025

MPN: EVEEN91

Manufacturer Name: Energizer

2 BOX 10.03 $20.06

3 45006 21049 Industrial Alkaline Batteries, Aaa, 24 Batteries/Box Power For Modern Devices., Powerful . Designed Specifically For Professional Applications.

Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 9/22/2025

MPN: EVEEN92

Manufacturer Name: Energizer

2 BOX 10.03 $20.06

4 73520 112632 Brand Disinfect ing Wipes Lemonlime Blossom 7 X 8 80Canister 2Pack 3 Pkct Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 9/22/2025

MPN: RAC80296

Manufacturer Name: Lysol

2 CRTN 38.33 $76.66

5 57547 92761 Tops Color Mini Index Cards - 200 X Divider(S) - 2. 50 In Divider Width X 3 In Divider Length - 1 Pack - White Divider Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 9/22/2025

MPN: 10010

Manufacturer Name: TOPS Products

3 PKG 4.38 $13.14

6 44582 40318 Tripp Lite Tlp606 Taa Protect It!

Surge Suppressor, 6 Outlets, 6 Ft Cord, 790 Joules, Taa Compliant Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 5 Delivery Date: 9/22/2025

MPN: TRPTLP606TAA

Manufacturer Name: Tripp-Lite

1 EACH 32.32 $32.32

Order Date: 9/17/2025

Internal Tracking No.: 0000385579

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Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

7 61562 21546 Mouse Pad W/Wrist Rest, Nonskid Back, 7 15/16 X 9 1/4, Black Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 9/22/2025

MPN: FEL9176501

Manufacturer Name: Fellowes

4 EACH 12.53 $50.12

8 61562 39848 Tops 33041 Quadrille Pads, 4 Squares/Inch, 8 1/2 X 11, White, 50 Sheets Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 9/22/2025

MPN: TOP33041

Manufacturer Name: TOPS Products

2 PAD 6.46 $12.92

9 61562 26418 Softskin Gel Keyboard Wrist Rest, Black Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 9/22/2025

MPN: IVR51451

Manufacturer Name: Innovera

1 EACH 9.24 $9.24

10 62085 36965 Uni-Ball San61255 Pen Uni-Ball 207 Gel Bk Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 9/22/2025

MPN: SAN61255

Manufacturer Name: uni-ball

2 DOZ 13.75 $27.50

11 61588 44738 7510015783514 Rubber Bands, Size 54, Assorted Sizes, 1900 Bands/1 Lb. General-Purpose Rubber Bands Are For Home Or Office Use.

Extremely High Rubber Content For Tensile Strength And Stretch.

Sterling Grade.

Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 9/22/2025

MPN: 7.51002E+12

Manufacturer Name: Abilityone

1 PKG 6.39 $6.39

Order Date: 9/17/2025

Internal Tracking No.: 0000385579

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Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

12 61541 38751 Smead Smd73395 Pocket Tearproof 7" Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 9/22/2025

MPN: SMD73395

Manufacturer Name: Smead

1 BOX 22.01 $22.01

13 61541 95210 Smead Assortment Colored File Pockets Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 9/22/2025

MPN: 73836

Manufacturer Name: Smead

1 PKG 14.54 $14.54

14 20372 2387784 Office Depot Od10450 Name Plate Cubicle Recycled Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 7 Delivery Date: 9/24/2025

MPN: OD10450

Manufacturer Name: Office Depot

6 EACH 7.53 $45.18

Total $392.56