26005242-0.pdf
PDF 14 KB Posted
- Attached to
- TX|TXMAS-24-61501|26005242
- Contract number
- 26005242
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26005242) issued by the Department of State Health Services (Agency 537) in Texas, dated 10/7/2025. The order is placed with Mono Machines LLC dba Supply Chimp, a contractor located in New York, NY, with shipping and billing addresses in Austin, TX. The purchase is made through the TXMAS-24-61501 contract, utilizing the Texas Comptroller of Public Accounts - Statewide Procurement Division.
The purchase involves 8 packages of Docket Ruled Perforated Pads (MPN: TOP63980) manufactured by TOPS Products, with specific details including 8 1/2 x 14 size, canary color, 50 sheets per pad. The unit price is $29.66 per package, totaling $237.28. The order has a 4-day delivery after receipt (ARO) with a specified delivery date of 10/13/2025. The purchase is tax-exempt under Texas Tax Code, Section 151.309(4), as the items are being secured for the exclusive use of the State of Texas.
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Text version
Purchase Order PO No. 26005242
Order Date: 10/7/2025
Internal Tracking No.: HHSTX-6-0000387155
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
1111 W North Loop Austin TX 78756
NOTE TO CONTRACTOR: NOTE TO CONTRACTOR: AGENCY CONTACT Samantha.butler@dshs.texas.gov
ALL PACKING SLIPS AND INVOICES MUST INCLUDE INTERNAL TRACKING NUMBER 0000387155
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 -
Dianne Perez Dianne.Perez@hhs.texas.gov (512) 406-2493
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 61562 39969 Docket Ruled Perforated Pads, 8 1/2 X 14, Canary, 50 Sheets, Dozen Letr- Trim Perforated Top Pads For Clean Tear-Out. Double-Stitched Top.
Sturdy Back For Writing Support.
Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 10/13/2025
MPN: TOP63980
Manufacturer Name: TOPS Products
8 PKG 29.66 $237.28
Total $237.28
File details come from the government source that posted it. Updated .