26005440-0.pdf

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Attached to
TX|TXMAS-24-61501|26005440
Contract number
26005440
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 26005440) issued by the Texas Department of State Health Services (DSHS) on 10/8/2025, with an internal tracking number of 0000387181. The purchasing agency is working with Mono Machines LLC dba Supply Chimp, located in New York, NY, under a Texas Multiple Award Schedule (TXMAS) contract. The purchase order is for a state agency procurement, with billing and shipping addresses in Austin, Texas.

The purchase order details the procurement of Lysol brand disinfecting wipes in two specific configurations: 3 cartons of Lemonlime Blossom Disinfecting Wipes (7x8, 80-canister 2-pack) at $38.33 per carton, totaling $114.99, and 12 individual units of Lysol Brand Disinfecting Wipes in Lemon and Lime Blossom (7x8, 35-canister) at $5.89 each, totaling $70.68. The total purchase order value is $185.67, with a specified delivery date of 10/13/2025 and a delivery time of 4 days after receipt of order (ARO). The purchase is made under contract TXMAS-24-61501, and the state claims exemption from federal excise taxes and sales tax under Texas Tax Code.

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Text version

Purchase Order PO No. 26005440

Order Date: 10/8/2025

Internal Tracking No.: 0000387181

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

1100 W 49TH ST

Laboratory L114 FLOOR: 2nd

AUSTIN TX 78756-3101

NOTE TO CONTRACTOR: PO#: 0000387181

AGENCY CONTACT:

Paloma DeLaPaz Paloma.delapaz@dshs.texas.gov 512-776-6648

Alt Contact: Katharine Hanna Katharine.hanna@dshs.texas.gov 512-776-3476

AP Email: invoices@dshs.texas.gov

Attn: Katherine Hanna

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. 26005440

Order Date: 10/8/2025

Internal Tracking No.: 0000387181

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 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: 10/13/2025

MPN: RAC80296

Manufacturer Name: Lysol

3 CRTN 38.33 $114.99

2 73520 34863 Lysol Brand 81145 Disinfecting Wipes, Lemon And Lime Blossom, 7 X 8, 35/Canister Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 10/13/2025

MPN: RAC81145

Manufacturer Name: Lysol

12 EACH 5.89 $70.68

Total $185.67

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