26002822-1.pdf
PDF 16 KB Posted
- Attached to
- TX|TXMAS-24-61501|26002822
- Contract number
- 26002822
- Issued by
- Texas
About this file
This document is a Purchase Order Change Notice (PO No. 26002822) issued by the Department of State Health Services (DSHS) in Texas on 9/22/2025. The purchase order involves Mono Machines LLC dba Supply Chimp, located in New York, NY, and is processed through the Texas Comptroller of Public Accounts - Statewide Procurement Division. The order is associated with a TXMAS (Texas Multiple Award Schedule) contract and involves a state procurement for the Texas Department of State Health Services.
The purchase order is for 1 dozen Tops Green Tint Steno Books (MPN: 8021DZ) manufactured by TOPS Products, with specifications of 80 sheets, 15 lb basis weight, measuring 6 in x 9 in, and available in green, white, and blue cover variations. The total order amount is $17.49, with a unit price of $17.49 per dozen. The delivery is set for 4 days after receipt of order (ARO), with a specific delivery date of September 26, 2025. The items are to be shipped to the DSHS Laboratory L-114 on the 4th floor, Room L-453, with specific instructions to include the PO number and contact information on the packing list.
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Text version
Purchase Order Change Notice PO No. 26002822
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:
**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 Contact: Paige Taylor**ATTN DSHS CLAIMS: Send approval requests to LabAccounting@dshs.texas.gov***
9/22/2025-**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 Contact: Paige Taylor**ATTN DSHS CLAIMS: Send approval requests to LabAccounting@dshs.texas.gov***
REVISION HISTORY:
PO Revision #: 1 PO Change Reasons (Aggregated):9/22/2025 3:12 pm-Internal tracking number changed from:
9/22/2025 3:12 pm-Contractor note 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
Purchase Order Change Notice PO No. 26002822
Order Date: 9/22/2025
Internal Tracking No.: 0000385843
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
1 61515 96882 Tops Green Tint Steno Books - 80 Sheets - 15 Lb Basis Weight - 6 In X 9 In - 12 / Dozen - Green Tint Paper Green, White, Blue Cover 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: 8021DZ
Manufacturer Name: TOPS Products
1 DOZ 17.49 $17.49
Total $17.49
File details come from the government source that posted it. Updated .