26004433-0.pdf
PDF 17 KB Posted
- Attached to
- TX|TXMAS-24-61501|26004433
- Contract number
- 26004433
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26004433) issued by the Texas Department of State Health Services (DSHS), specifically the Health Promotion and Chronic Disease Prevention Section, Community Health Worker and School Health Branch. The purchase order is processed through the Texas Comptroller of Public Accounts - Statewide Procurement Division and is being fulfilled by Mono Machines LLC dba Supply Chimp, located in New York, NY. The order is dated 10/1/2025 with an internal tracking number of 0000386700.
The purchase order covers two line items: 4 packages of PVC ID Badge Cards (3 3/8 x 2 1/8, white, 100/pack) from C-Line Products, Inc. at $14.55 per package, totaling $58.20, and 4 boxes of Business Source Little Coin Kraft Envelopes (2.25 x 3.50 inches) at $23.04 per box, totaling $92.16. The total order value is $150.36. The order is placed under the TXMAS-24-61501 contract with a TXMAS contract type, with a specified delivery date of 10/6/2025 and a 4-day after receipt (ARO) delivery timeline. The items are to be delivered to the DSHS Moreton building, 2nd floor, M2-100 in Austin, TX.
View the file
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Purchase Order PO No. 26004433
Order Date: 10/1/2025
Internal Tracking No.: 0000386700
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 Smith,April Therese Bensan
(512) 776-2586 1111 W North Loop Austin TX 78756 DSHS Health Promotion and Chronic Disease Prevention Section Community Health Worker and School Health Branch 1100 W. 49th St (MC 1965) Austin, TX 78756 Location: DSHS Moreton/2nd floor/M2-100
NOTE TO CONTRACTOR: **PACKING LIST REQUIRED TO SHOW PO NUMBER 0000386700 AND ATTN CONTACT INFO *** SHIP TO ATTN Smith,April Therese Bensan 512-776-2586 apriltherese.smith@dshs.texas.gov **Send invoices to: invoices@dshs.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
Dept Of State Health Services -
Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564
Order Date: 10/1/2025
Internal Tracking No.: 0000386700
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 08010 9062 Pvc Id Badge Card, 3 3/8 X 2 1/8, White, 100/Pack Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 10/6/2025 Notes: **PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Smith,April Therese B e n s a n 5 1 2 - 7 7 6 - 2 5 8 6 apriltherese.smith@dshs.texas.gov
WA R E H O U S E D E L I V E RY
INFORMATION
DSHS Health Promotion and Chronic Disease Prevention Section Community Health Worker and School Health Branch 1100 W. 49th St (MC 1965) Austin, TX 78756 Location: DSHS Moreton/2nd floor/ M2-100
MPN: CLI89007
Manufacturer Name: C-Line Products, Inc.
4 PKG 14.55 $58.20
Order Date: 10/1/2025
Internal Tracking No.: 0000386700
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
2 31006 71446 Business Source Little Coin Kraft Envelope - Coin - #1 2.25 In X 3.50 In - 20 Lb. - Gummed - Kraft - 500/Box - Brown Kraft Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 10/6/2025 Notes: **PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Smith,April Therese B e n s a n 5 1 2 - 7 7 6 - 2 5 8 6 apriltherese.smith@dshs.texas.gov
WA R E H O U S E D E L I V E RY
INFORMATION
DSHS Health Promotion and Chronic Disease Prevention Section Community Health Worker and School Health Branch 1100 W. 49th St (MC 1965) Austin, TX 78756 Location: DSHS Moreton/2nd floor/ M2-100
MPN: 04440
Manufacturer Name: Business Source
4 BOX 23.04 $92.16
Total $150.36
File details come from the government source that posted it. Updated .