26006334-1.pdf

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Attached to
TX|TXMAS-24-61501|26006334
Contract number
26006334
Issued by
Texas

About this file

This is a Purchase Order Change Notice (PO No. 26006334) issued by the Texas Health & Human Services Commission on 10/14/2025, involving Mono Machines LLC dba Supply Chimp from New York, NY, and the Texas Department of State Health and Human Services. The document specifically relates to a transaction with the Rio Grande State Center in Harlingen, TX, and includes detailed shipping and invoicing instructions for Rolando Saldivar at the Rio Grande State Center warehouse.

The purchase order is for one SP Richards Task & Desk Chair (Model LLR86200) at a unit price of $381.26, procured under the TXMAS-24-61501 contract. The delivery is scheduled for 10/19/2025 with a 5-day after receipt of order (ARO) timeline. The order is tax-exempt under Texas Tax Code, Section 151.309(4), as the purchase is for exclusive state use. The change notice indicates a revision to the original shipping delivery date, with specific requirements for the contractor to include the PO number and contact information on the packing list when shipping.

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Purchase Order Change Notice PO No. 26006334

Order Date: 10/14/2025

Internal Tracking No.: 0000387660

Contractor Info Bill To Ship To Mono Machines LLC dba Supply Chimp 12634995182 228 Park Ave S New York, NY 10003

(800) 592-1306

San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223

ATTN Rolando SaldivarRio Grande SH Whse1401 S. Rangerville Rd, Harlingen, TX 78552undefined

NOTE TO CONTRACTOR:

***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000387660 AND ATTN CONTACT INFO ***

SHIP TO ATTN Rolando Saldivar 956-364-8478 rolando.saldivar@hhs.texas.gov

Rio Grande State Center 1401 S. Rangerville Rd. Harlingen, TX 78552

Bldg. 508 Warehouse

**SEND INVOICES VIA EMAIL TO: SAHAccounting@dshs.texas.gov ***

10/14/2025-***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000387660 AND ATTN CONTACT INFO ***

SHIP TO ATTN Rolando Saldivar 956-364-8478 rolando.saldivar@hhs.texas.gov

Rio Grande State Center 1401 S. Rangerville Rd. Harlingen, TX 78552

Bldg. 508 Warehouse

**SEND INVOICES VIA EMAIL TO: SAHAccounting@dshs.texas.gov ***

10/20/2025-***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000387660 AND ATTN CONTACT INFO ***

SHIP TO ATTN Rolando Saldivar 956-364-8478 rolando.saldivar@hhs.texas.gov

Rio Grande State Center 1401 S. Rangerville Rd. Harlingen, TX 78552

Bldg. 508 Warehouse

**SEND INVOICES VIA EMAIL TO: SAHAccounting@dshs.texas.gov ***

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):10/20/2025 7:55 am-Shipping delivery date has changed from: Wed Oct 15 2025 00:00:00 GMT-0700 (PDT) to: Sun Oct 19 2025 00:00:00 GMT-0700 (PDT)

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/CO-OP Member Purchaser Email Phone

Purchase Order Change Notice PO No. 26006334

Order Date: 10/14/2025

Internal Tracking No.: 0000387660

Health & Human Services Commission - 529

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

1 44582 2446665 Sp Richards Llr86200 Task & Desk Chairs, Ea Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 5 Delivery Date: Sun Oct 19 2025

00:00:00 GMT-0700 (PDT)

Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rolando Saldivar 9 5 6 - 3 6 4 - 8 4 7 8 rolando.saldivar@hhs.texas.gov Rio Grande State Center 1401 S.

Rangerville Rd. Harlingen, TX 78552 Bldg. 508 Warehouse

MPN: LLR86200

Manufacturer Name: SP Richards

1 EACH 381.26 $381.26

Total $381.26

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