26002798-1.pdf
PDF 33 KB Posted
- Attached to
- TX|TXMAS-24-61501|26002798
- Contract number
- 26002798
- Issued by
- Texas
About this file
This document is a Purchase Order Change Notice (PO No. 26002798) issued by the Texas Department of State Health Services (DSHS) on 9/22/2025. The purchase order is processed through the Texas Multiple Award Schedule (TXMAS) contract (No. TXMAS-24-61501), with Mono Machines LLC dba Supply Chimp serving as the vendor. The order will be shipped to the DSHS Laboratory located in Austin, Texas, specifically to Paige Taylor at the Laboratory L-114, 4th Floor, Room L-453.
The purchase order encompasses 13 line items of various office and laboratory supplies, including Sharpie markers, 3M post-it notes, laminating sheets, rubber bands, self-inking date stamps, cleaning wipes, and other miscellaneous items. The total order value is $627.68, with individual item prices ranging from $3.66 to $79.09. All items are set for delivery on September 26, 2025, with a standard delivery ARO (After Receipt of Order) of 4 days. The contract type is TXMAS, which suggests a pre-negotiated state procurement vehicle allowing efficient purchasing across multiple vendors. Each item includes specific manufacturer details, part numbers, and precise shipping instructions requiring the packing list to show the purchase order number and contact information.
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Text version
Purchase Order Change Notice PO No. 26002798
Order Date: 9/22/2025
Internal Tracking No.: 0000385843
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
ATTN PAIGE TAYLOR
(512) 776-7599
1100 W 49TH ST
Laboratory L114 FLOOR: 2nd
AUSTIN TX 78756-3101
DSHS INTERNAL DELIVERY INFO:
Building: Laboratory L-114 Floor: 4th, Room L-453 Contact: Paige Taylor
NOTE TO CONTRACTOR:
09/26/2025 PER VENDOR LINE 9 GOJ975504CT DISCONTINUED***PACKING LIST REQUIRED TO SHOW PO NUMBER
0000385843 AND ATTN CONTACT INFO ***SHIP TO ATTN PAIGE TAYLOR 512-776-7599
paige.taylor@dshs.texas.govBuilding: Laboratory L-114 Floor: 4th, Room L-453**ATTN DSHS CLAIMS: Send approval requests to LabAccounting@dshs.texas.gov***
9/26/2025-09/26/2025 PER VENDOR LINE 9 GOJ975504CT DISCONTINUED***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000385843 AND ATTN CONTACT INFO ***SHIP TO ATTN PAIGE TAYLOR 512-776-7599 paige.taylor@dshs.texas.govBuilding: Laboratory L-114 Floor: 4th, Room L-453**ATTN DSHS CLAIMS: Send approval requests to LabAccounting@dshs.texas.gov***
REVISION HISTORY:
PO Revision #: 1 PO Change Reasons (Aggregated):9/26/2025 10:12 am-Contractor note changed
9/26/2025 10:12 am-Change to Line 9: Quantity has changed from:
9/26/2025 10:12 am-Change to Line 9: Line note has changed from:
9/26/2025 10:12 am-Change to Line 9: Attatchment changed changed
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/CO-OP Member Purchaser Email Phone
Dept Of State Health Services -
Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564
Order Date: 9/22/2025
Internal Tracking No.: 0000385843
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
1 78530 270029 Sharpie 2010953 Cosmic Color Permanent Markers, Bu, 2010953, 071641128552, Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: Fri Sep 26 2025
00:00:00 GMT-0700 (PDT)
Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN PAIGE TAYLOR
5 1 2 - 7 7 6 - 7 5 9 9 paige.taylor@dshs.texas.gov REQUESTER De La Paz,Paloma 5 1 2 - 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov
FOR DSHS INTERNAL DELIVERY
INFO:
Building: Laboratory L-114 Floor: 4th, Room L-453 Contact: Paige Taylor
MPN: SAN2010953
Manufacturer Name: Sharpie
1 SET 6.49 $6.49
2 61562 111596 Pads In Miami Colors, 2 X 2, 90/Pad, 8 Pads/Pack Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: Fri Sep 26 2025
00:00:00 GMT-0700 (PDT)
Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN PAIGE TAYLOR
5 1 2 - 7 7 6 - 7 5 9 9 paige.taylor@dshs.texas.gov REQUESTER De La Paz,Paloma 5 1 2 - 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov
FOR DSHS INTERNAL DELIVERY
INFO:
Building: Laboratory L-114 Floor: 4th, Room L-453 Contact: Paige Taylor
MPN: MMM6228SSMIA
Manufacturer Name: 3M
2 PKG 7.98 $15.96
Order Date: 9/22/2025
Internal Tracking No.: 0000385843
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
3 78530 192175 Sharpie 2003900 Metallic Permanent Markers - Offic Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: Fri Sep 26 2025
00:00:00 GMT-0700 (PDT)
Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN PAIGE TAYLOR
5 1 2 - 7 7 6 - 7 5 9 9 paige.taylor@dshs.texas.gov REQUESTER De La Paz,Paloma 5 1 2 - 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov
FOR DSHS INTERNAL DELIVERY
INFO:
Building: Laboratory L-114 Floor: 4th, Room L-453 Contact: Paige Taylor
MPN: SAN2003900
Manufacturer Name: Sharpie
1 PACK 46.31 $46.31
Order Date: 9/22/2025
Internal Tracking No.: 0000385843
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
4 61575 115483 Non-Latex Orange Rubber Bands - Size: #33 - 3.50In Length X 0.13In Width - Latex-Free, Stretchable - 180 / Bag - Synthetic Rubber, Poly - Orange Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: Fri Sep 26 2025
00:00:00 GMT-0700 (PDT)
Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN PAIGE TAYLOR
5 1 2 - 7 7 6 - 7 5 9 9 paige.taylor@dshs.texas.gov REQUESTER De La Paz,Paloma 5 1 2 - 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov
FOR DSHS INTERNAL DELIVERY
INFO:
Building: Laboratory L-114 Floor: 4th, Room L-453 Contact: Paige Taylor
MPN: 37338
Manufacturer Name: Alliance Rubber Company
3 BAG 3.66 $10.98
Order Date: 9/22/2025
Internal Tracking No.: 0000385843
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
5 61577 41780 Self-Inking Do It Yourself Message Dater, 3/4 X 1 7/8, Blue/Red. Date Band Cover S Your Fingers Stay Clean. Contains Recycled Content.
Prints Up To 2 Lines Of Text. 10 Years Of Dates And 10,000 Impressions.
Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: Fri Sep 26 2025
00:00:00 GMT-0700 (PDT)
Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN PAIGE TAYLOR
5 1 2 - 7 7 6 - 7 5 9 9 paige.taylor@dshs.texas.gov REQUESTER De La Paz,Paloma 5 1 2 - 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov
FOR DSHS INTERNAL DELIVERY
INFO:
Building: Laboratory L-114 Floor: 4th, Room L-453 Contact: Paige Taylor
MPN: USS5916
Manufacturer Name: Trodat
3 EACH 17.03 $51.09
Order Date: 9/22/2025
Internal Tracking No.: 0000385843
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
6 45018 93806 Rubbermaid 738000Yl Mop Bucket Combination Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: Fri Sep 26 2025
00:00:00 GMT-0700 (PDT)
Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN PAIGE TAYLOR
5 1 2 - 7 7 6 - 7 5 9 9 paige.taylor@dshs.texas.gov REQUESTER De La Paz,Paloma 5 1 2 - 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov
FOR DSHS INTERNAL DELIVERY
INFO:
Building: Laboratory L-114 Floor: 4th, Room L-453 Contact: Paige Taylor
MPN: 738000YL
Manufacturer Name: Newel l Rubbermaid Inc.
1 EACH 79.09 $79.09
Order Date: 9/22/2025
Internal Tracking No.: 0000385843
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
7 64022 16328 Quick Cover Laminating Pockets, 12 Mil, 9 1/8 X 11 1/2, 25/Pack. Any 8 1/2 X 11 Paper Into A Professional Looking Document In Minutes.
Place Document Inside The Folder, Remove The Protector Liner And Slowly Seal The Laminating Film.
Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: Fri Sep 26 2025
00:00:00 GMT-0700 (PDT)
Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN PAIGE TAYLOR
5 1 2 - 7 7 6 - 7 5 9 9 paige.taylor@dshs.texas.gov REQUESTER De La Paz,Paloma 5 1 2 - 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov
FOR DSHS INTERNAL DELIVERY
INFO:
Building: Laboratory L-114 Floor: 4th, Room L-453 Contact: Paige Taylor
MPN: CLI65187
Manufacturer Name: C-Line Products, Inc.
1 BOX 31.21 $31.21
Order Date: 9/22/2025
Internal Tracking No.: 0000385843
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
8 66571 13762 Avery 73601 Clear Self-Adhesive Laminating Sheets, 3 Mil, 9 X 12, 50/Box, 73601, 077711736016, Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: Fri Sep 26 2025
00:00:00 GMT-0700 (PDT)
Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN PAIGE TAYLOR
5 1 2 - 7 7 6 - 7 5 9 9 paige.taylor@dshs.texas.gov REQUESTER De La Paz,Paloma 5 1 2 - 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov
FOR DSHS INTERNAL DELIVERY
INFO:
Building: Laboratory L-114 Floor: 4th, Room L-453 Contact: Paige Taylor
MPN: AVE73601
Manufacturer Name: Avery
1 BOX 16.30 $16.30
9 65216 22615 Micrell Goj975504Ct Soap Lotion Micrel 1Gl Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: Fri Sep 26 2025
00:00:00 GMT-0700 (PDT)
Notes: 09/26/2025 PER VENDOR L I N E 9 G O J 9 7 5 5 0 4 C T
DISCONTINUED
MPN: GOJ975504CT
Manufacturer Name: MICRELL
0 CRTN 74.92 $0.00
Order Date: 9/22/2025
Internal Tracking No.: 0000385843
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
10 48572 180600 Swiffer 37109 Max Dry Cloth Refills, Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: Fri Sep 26 2025
00:00:00 GMT-0700 (PDT)
Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN PAIGE TAYLOR
5 1 2 - 7 7 6 - 7 5 9 9 paige.taylor@dshs.texas.gov REQUESTER De La Paz,Paloma 5 1 2 - 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov
FOR DSHS INTERNAL DELIVERY
INFO:
Building: Laboratory L-114 Floor: 4th, Room L-453 Contact: Paige Taylor
MPN: 37109-BX
Manufacturer Name: Procter & Gamble
1 EACH 25.33 $25.33
Order Date: 9/22/2025
Internal Tracking No.: 0000385843
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
11 62090 227508 Ink Tank Holds Free-Flowing Liquid, Permanent, Fluorescent Ink. Barrel Has A Clear Window To Monitor Ink Supply. Cap Has A Plastic Clip.
Liquid Ink Longer Write Out Than Reservoir Style Markers. Will Not Smear, Smudge, Or Fade.
Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: Fri Sep 26 2025
00:00:00 GMT-0700 (PDT)
Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN PAIGE TAYLOR
5 1 2 - 7 7 6 - 7 5 9 9 paige.taylor@dshs.texas.gov REQUESTER De La Paz,Paloma 5 1 2 - 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov
FOR DSHS INTERNAL DELIVERY
INFO:
Building: Laboratory L-114 Floor: 4th, Room L-453 Contact: Paige Taylor
MPN: 7520014612661
Manufacturer Name: Abilityone
2 BOX 8.82 $17.64
Order Date: 9/22/2025
Internal Tracking No.: 0000385843
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
12 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: Fri Sep 26 2025
00:00:00 GMT-0700 (PDT)
Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN PAIGE TAYLOR
5 1 2 - 7 7 6 - 7 5 9 9 paige.taylor@dshs.texas.gov REQUESTER De La Paz,Paloma 5 1 2 - 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov
FOR DSHS INTERNAL DELIVERY
INFO:
Building: Laboratory L-114 Floor: 4th, Room L-453 Contact: Paige Taylor
MPN: RAC80296
Manufacturer Name: Lysol
8 CRTN 38.33 $306.64
13 62080 98504 Pentel Bln77Bp2A Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 7 Delivery Date: Mon Sep 29 2025
00:00:00 GMT-0700 (PDT)
Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN PAIGE TAYLOR
5 1 2 - 7 7 6 - 7 5 9 9 paige.taylor@dshs.texas.gov REQUESTER De La Paz,Paloma 5 1 2 - 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov
FOR DSHS INTERNAL DELIVERY
INFO:
Building: Laboratory L-114 Floor: 4th, Room L-453 Contact: Paige Taylor
MPN: BLN77BP2A
Manufacturer Name: Pentel
4 SET 5.16 $20.64
Order Date: 9/22/2025
Internal Tracking No.: 0000385843
Total $627.68
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