26004986-0.pdf

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Attached to
TX|TXMAS-24-61501|26004986
Contract number
26004986
Issued by
Texas

About this file

This document is a Texas state government Purchase Order (PO No. 26004986) issued by the Department of State Health Services, located in Austin, Texas. The purchase is made through Mono Machines LLC dba Supply Chimp, a vendor based in New York City, with the order processed on 10/3/2025. The purchase is being made under the TXMAS-24-61501 contract, which appears to be a Texas Multiple Award Schedule (TXMAS) contract.

The purchase involves a single foot rest manufactured by Abilityone, with a Smartfit Height Adjustment System that allows height customization between 3.5 and 5 inches. The item is priced at $99.25, with a quick delivery timeline of 4 days after receipt of order (ARO), specifically scheduled for delivery on 10/7/2025. The purchase order includes a state and city sales tax exemption under Texas Tax Code, Section 151.309(4), as the item is being secured for exclusive use by the State of Texas. The primary agency contact is Laura Benson, and invoices are to be sent to invoices@dshs.texas.gov.

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Text version

Purchase Order PO No. 26004986

Order Date: 10/3/2025

Internal Tracking No.: 0000386988

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

(800) 592-1306

1100 West 49th Street

MC: 3063

Austin TX 78756

Laura Benson

(512) 776-7520 1111 W North Loop Austin TX 78756

NOTE TO CONTRACTOR: PO#: 0000386988

AGENCY CONTACT:

Laura Benson laura.benson@dshs.texas.gov 512-776-7520

AP Email: invoices@dshs.texas.gov

Attn: Laura Benson Bldg / Room #: Suite G203.01

Invoice per 34 TAC §20.487, amended effective 5.1.22

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 -

Nicole Smith Nicole.Smith1@hhs.texas.gov (512) 776-2039

Purchase Order PO No. 26004986

Order Date: 10/3/2025

Internal Tracking No.: 0000386988

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 60536 226590 This Foot Rest Is Equipped With A Patented Smar tfit He ight Adjustment System That Makes It To Adjust The Height From 3. 5 To 5 For A Truly Customized Fit Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 10/7/2025

MPN: 7195016667982

Manufacturer Name: Abilityone

1 EACH 99.25 $99.25

Total $99.25

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