26006883-1.pdf
PDF 15 KB Posted
- Attached to
- TX|TXMAS-25-45004|26006883
- Contract number
- 26006883
- Issued by
- Texas
About this file
This is a Purchase Order Change Notice (PO No. 26006883) issued by the Department of State Health Services in Texas, involving Fastenal Company as the contractor. The document is dated 10/16/2025 and is associated with an internal tracking number 0000387918. The purchase order is part of the TXMAS-25-45004 contract, a Texas Multiple Award Schedule (TXMAS) contract type, with Samantha Butler listed as the agency contact.
The purchase order is for 15 units of 24"W X 24"L X 6.0Mic 10 Gal Black Hdpe Can Liners (50 Liners / 20 Rolls), manufactured by PITT PLASTICS INC, with a unit price of $38.11 and a total extended amount of $571.65. The delivery is set for 10 days after receipt of order (ARO), with a specific delivery date of Sunday, October 26, 2025. The order includes a tax exemption under Texas Tax Code, Section 151.309(4), as the property is being secured for the exclusive use of the State of Texas. The purchase order change notice indicates a revision to the original shipping delivery date.
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Text version
Purchase Order Change Notice PO No. 26006883
Order Date: 10/16/2025
Internal Tracking No.: 0000387918
Contractor Info Bill To Ship To Fastenal Company 14109484155 2001 Theurer Blvd.
Winona, MN 55987
(833) 790-9932
PO BOX 149347
Fiscal Division/Accounts Payable
AUSTIN TX 78714-9347
Samantha Butler1111 W North Loop, Austin, TX 78756undefined
NOTE TO CONTRACTOR:
AGENCY CONTACT:
Name: Samantha Butler
Email: Samantha.Butler@dshs.texas.gov
Number: (512) 776-9527
AP Email: invoices@dshs.texas.gov
Invoice per 34 TAC §20.487, amended effective May 1, 2022
10/16/2025-AGENCY CONTACT:
Name: Samantha Butler
Email: Samantha.Butler@dshs.texas.gov
Number: (512) 776-9527
AP Email: invoices@dshs.texas.gov
Invoice per 34 TAC §20.487, amended effective May 1, 2022
10/20/2025-AGENCY CONTACT:
Name: Samantha Butler
Email: Samantha.Butler@dshs.texas.gov
Number: (512) 776-9527
AP Email: invoices@dshs.texas.gov
Invoice per 34 TAC §20.487, amended effective May 1, 2022
REVISION HISTORY:
PO Revision #: 1 PO Change Reasons (Aggregated):10/20/2025 10:11 am-Shipping delivery date has changed from: Fri Oct 17 2025 00:00:00 GMT-0700 (PDT) to: Sun Oct 26 2025 00:00:00 GMT-0700 (PDT)
Purchase Order Change Notice PO No. 26006883
Order Date: 10/16/2025
Internal Tracking No.: 0000387918
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
Dept Of State Health Services -
Maricella Duran maricella.duran@hhs.texas.gov (512) 000-0000
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
1 48575 924468740 24"W X 24"L X 6.0Mic 10 Gal Black Hdpe Can Liner 50 Liners / 20 Rolls Contract: TXMAS-25-45004 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: Sun Oct 26 2025
00:00:00 GMT-0700 (PDT)
MPN: MR24249MK
Manufacturer Name: PITT PLASTICS
INC
15 EACH 38.11 $571.65
Total $571.65
File details come from the government source that posted it. Updated .