26005697-0.pdf
PDF 16 KB Posted
- Attached to
- TX|TXMAS-24-61501|26005697
- Contract number
- 26005697
- Issued by
- Texas
About this file
This document is a Purchase Order (PO No. 26005697) issued by the Department of State Health Services in Texas, utilizing the Texas Multiple Award Schedule (TXMAS) contract. The order is placed with Mono Machines LLC dba Supply Chimp, located in New York, NY, and will be shipped to the Texas Department of State Health Services in Austin, TX, specifically to an individual named Jones at the RDM building, Floor 3, Office M367.
The purchase order covers three office supply items: 7 Compucessory gel mouse pads (at $9.77 each), 1 carton of Lysol Lemon & Lime Blossom Disinfecting Wipes (at $41.17), and 1 pack of Scotch Storage Tape (at $14.17), totaling $123.73. The items are to be delivered within 4 days of order (ARO) by 10/13/2025, with specific instructions that the packing list must show the PO number and contact information. The order is made under the TXMAS-24-61501 contract, and the State of Texas claims exemption from federal excise taxes under the state's tax code.
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Text version
Purchase Order PO No. 26005697
Order Date: 10/9/2025
Internal Tracking No.: 0000387369
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 Jones, Amethyst Sade
(512) 776-7321 1111 W North Loop Austin TX 78756 uilding and Room number RDM, Floor 3, Office M367
NOTE TO CONTRACTOR: **PACKING LIST REQUIRED TO SHOW PO NUMBER 0000387369 AND ATTN CONTACT INFO *** SHIP TO ATTN SHIP TO ATTN Jones, Amethyst Sade 512-776-7321 amethyst.jones@dshs.texas.gov Building and Room number RDM, Floor 3, Office M367 ***send invoice to Email: amethyst.jones@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
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 61562 72381 Compucessory 45163 Gel Mouse Pad, Gray, Height: 9 In Width: 10 In Depth: 1" 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 SHIP TO ATTN Jones, Amethyst Sade 512-776-7321 amethyst.jones@dshs.texas.gov Building and Room number RDM, Floor 3, Office M367
MPN: 45163
Manufacturer Name: Compucessory
7 EACH 9.77 $68.39
Purchase Order PO No. 26005697
Order Date: 10/9/2025
Internal Tracking No.: 0000387369
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
2 73520 34864 Lysol Brand 81145Ct Lemon & Lime Blossom Disinfecting Wipes, 7 X 8, 35/Canister, 12 Canisters/Carton 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 SHIP TO ATTN Jones, Amethyst Sade 512-776-7321 amethyst.jones@dshs.texas.gov Building and Room number RDM, Floor 3, Office M367
MPN: RAC81145CT
Manufacturer Name: Lysol
1 CRTN 41.17 $41.17
3 61588 7724 Scotch 36504 Storage Tape, 1.88" X 54.6Yds, 3" Core, Clear, 4 Rolls/Pack, 36504, 051131762855, 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 SHIP TO ATTN Jones, Amethyst Sade 512-776-7321 amethyst.jones@dshs.texas.gov Building and Room number RDM, Floor 3, Office M367
MPN: MMM36504
Manufacturer Name: Scotch
1 PACK 14.17 $14.17
Total $123.73
File details come from the government source that posted it. Updated .