26006215-0.pdf
PDF 18 KB Posted
- Attached to
- TX|TXMAS-24-61501|26006215
- Contract number
- 26006215
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26006215) issued by the Department of State Health Services (DSHS), an agency of the State of Texas, on 10/13/2025. The purchase is made through the TXMAS-24-61501 contract with Mono Machines LLC dba Supply Chimp, located in New York, NY. The primary contacts for this purchase order are Paloma DeLaPaz and Paige Taylor from DSHS, with the purchasing agent being Nicole Smith.
The purchase order comprises eight line items of office supplies, including report covers, a cutting board, adhesive tape, hand soap, and various pens, totaling $452.07. All items are sourced from manufacturers like Abilityone, ACCO, Velcro, Softsoap, uni-ball, and Pentel. The contract specifies a delivery after receipt (ARO) of 3-4 days, with a delivery date of 10/16/2025 or 10/17/2025. The purchase is made under a Texas Multiple Award Schedule (TXMAS) contract, and the State of Texas claims exemption from federal excise taxes under Texas Tax Code, Section 151.309(4).
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Text version
Purchase Order PO No. 26006215
Order Date: 10/13/2025
Internal Tracking No.: 0000387197
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#: 0000387197
AGENCY CONTACT:
Paloma DeLaPaz Paloma.delapaz@dshs.texas.gov 512-776-6648
Alternate Contact: Paige Taylor Paige.taylor@dshs.texas.gov 512-776-7599
AP Email: invoices@dshs.texas.gov
Attn: Paige Taylor
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
Order Date: 10/13/2025
Internal Tracking No.: 0000387197
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 61509 44225 Abilityone 2814313 7510002814313 Report Cover, 8-1/2 X 11, Red, 6" Capacity, 25/Box Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 10/17/2025
MPN: 7510002814313
Manufacturer Name: Abilityone
1 BOX 50.06 $50.06
2 61531 10941 Pressboard Report Cover, Prong Clip, Letter, 3 In - Capacity, Black 20 Pt. Pressboard. Fasteners All Pages. Space- Covers.
Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 10/17/2025
MPN: ACC25971
Manufacturer Name: ACCO
20 EACH 3.19 $63.80
3 64633 44953 For Cutt ing Photographs, Photostatic Work, Paper And Lightweight Cardboard. The Cutting Board Features A Movable Trimming Guide And A Hand-Operated Drop Knife. The Handy Ruling Guide And 1/2 In.
Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 10/17/2025
MPN: 7520006344675
Manufacturer Name: Abilityone
1 EACH 87.88 $87.88
4 44544 134903 Adhesive For Most Surfaces, Including Plastic. For Indoor And Outdoor Use. Water-Resistant. For Smooth Surfaces. Heavy Duty Tape With A Low Profile High While Remaining Unobtrusive.
Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 10/17/2025
MPN: VEK91100
Manufacturer Name: Velcro
5 ROLL 9.89 $49.45
Order Date: 10/13/2025
Internal Tracking No.: 0000387197
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
5 65229 306902 Softsoap 45992Ea Moisturizing Hand Soap Refill With Aloe, Fresh, 50 Oz Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 10/17/2025
MPN: CPC45992EA
Manufacturer Name: Softsoap
12 EACH 10.08 $120.96
6 62085 36965 Uni-Ball San61255 Pen Uni-Ball 207 Gel Bk Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 10/17/2025
MPN: SAN61255
Manufacturer Name: uni-ball
2 DOZ 13.85 $27.70
7 61548 69461 7510015195770 Skilcraft Gold Foil Document Cover, 12 1/2 X 9 3/4, Black, 5/Pack Present And Preserve Your Award Certificates With A Touch Of Class. Gold-Foil Trim Design Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 3 Delivery Date: 10/16/2025
MPN: 7510015195770
Manufacturer Name: Abilityone
2 PKG 8.90 $17.80
8 62080 301184 Pentel Bln75A Pentel Energel Deluxe Rtx Retractable Liquid Gel Pens, Fine Point, 0. 5 Mm Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 10/17/2025
MPN: BLN75A
Manufacturer Name: Pentel
2 DOZ 17.21 $34.42
Total $452.07
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