26005659-0.pdf

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Attached to
TX|TXMAS-24-61501|26005659
Contract number
26005659
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26005659) issued by the Department of State Health Services (DSHS) in Texas on 10/9/2025, with Mono Machines LLC dba Supply Chimp as the contractor. The purchase order is processed through the Texas Comptroller of Public Accounts - Statewide Procurement Division, with Debra Burns as the agency purchaser. The document involves a transaction between the State of Texas and Supply Chimp, located in New York, with delivery and billing instructions specific to DSHS in Austin, Texas.

The purchase order covers two office supply items under the TXMAS-24-61501 contract: 3 packs of Kleenex 21271 White Facial Tissue (2-Ply, Pop-Up Box, 95/Box, 6 Boxes/Pack) at $12.95 per pack, totaling $38.85, and 3 rolls of 8452 Book Repair Tape (2 X 15Yds 3 Core Clear) at $8.34 per roll, totaling $25.02. The total order value is $63.87, with a specified delivery date of 10/13/2025 and a 4-day after receipt of order (ARO) delivery requirement. The purchase is tax-exempt under Texas Tax Code, Section 151.309(4), and is for the exclusive use of the State of Texas.

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Text version

Purchase Order PO No. 26005659

Order Date: 10/9/2025

Internal Tracking No.: 0000387352

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 Bortolussi,Denise D

(512) 776-6492 1111 W North Loop Austin TX 78756 Deliver to: Elaine Byrd, Moreton Bldg. 7th Floor, Ste. 765

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000387352 AND ATTN CONTACT INFO *** SHIP TO ATTN Bortolussi,Denise D 512-776-6492 denise.bortolussi@dshs.texas.gov RECPIENT Elaine Byrd 512-284-1638 elaine.byrd@dshs.texas.gov Deliver to: Elaine Byrd, Moreton Bldg. 7th Floor, Ste. 765 ***send invoice Email: 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

Purchase Order PO No. 26005659

Order Date: 10/9/2025

Internal Tracking No.: 0000387352

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 64075 68920 Kleenex 21271 White Facial Tissue, 2-Ply, Pop-Up Box, 95/Box, 6 Boxes/Pack Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 10/13/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Bortolussi,Denise D 5 1 2 - 7 7 6 - 6 4 9 2 denise.bortolussi@dshs.texas.gov RECPIENT Elaine Byrd 512-284-1638 elaine.byrd@dshs.texas.gov Deliver to: Elaine Byrd, Moreton Bldg.

7th Floor, Ste. 765

MPN: KCC21271

Manufacturer Name: Kleenex

3 PACK 12.95 $38.85

2 61588 30941 8452 Book Repair Tape 2 X 15Yds 3 Core Clear Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 10/13/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Bortolussi,Denise D 5 1 2 - 7 7 6 - 6 4 9 2 denise.bortolussi@dshs.texas.gov RECPIENT Elaine Byrd 512-284-1638 elaine.byrd@dshs.texas.gov Deliver to: Elaine Byrd, Moreton Bldg.

7th Floor, Ste. 765

MPN: MMM8452

Manufacturer Name: Scotch

3 ROLL 8.34 $25.02

Total $63.87

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