26026297-0.pdf
PDF 17 KB Posted
- Attached to
- TX|TXMAS-25-45004|26026297
- Contract number
- 26026297
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26026297) issued by the Texas Department of State Health Services (DSHS) on 11/14/2025, with Fastenal Company as the contractor. The purchase order is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, utilizing a TXMAS (Texas Multiple Award Schedule) contract (TXMAS-25-45004). The shipping destination is the DSHS location in Houston, Texas, with the specific contact being Beatriz Moreno-Turrubiartes.
The purchase order covers three line items: 1,440 22" Black Lightweight Nylon Keystone Safety Hair Nets at $0.17 each (totaling $244.80), 10 Large Black Nitrile Powder Free 4 Mil Disposable Gloves at $34.75 each (totaling $347.50), and 10 Small Black Nitrile Powder Free 4 Mil Disposable Gloves at $37.95 each (totaling $379.50). The total order value is $971.80. The items are from manufacturers Keystone Adj. Cap Co. Inc. and MCR Safety, with a delivery timeframe of 10 days after receipt of order (ARO), specifically targeted for delivery by 11/24/2025. The order includes a tax exemption under Texas Tax Code and requires a packing list with the PO number and contact information.
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Text version
Purchase Order PO No. 26026297
Order Date: 11/14/2025
Internal Tracking No.: 0000389961
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
Attn Moreno Turrubiartes,BeatrizDSHS-5425
POLK ST, HOUSTON, TX 77023-1444
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000389961 AND ATTN CONTACT INFO *** Ship to Attn: Beatriz Moreno-Turrubiartes 713-767-3022 512-968-7189 Beatriz.Moreno@dshs.texas.gov DEPARTMENT OF STATE HEALTH SERVICES 5425 Polk St Ste 420 Houston TX 77023 ***SEND INVOICE TO 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
Order Date: 11/14/2025
Internal Tracking No.: 0000389961
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 20019 1068396 22" Black Lightweight Nylon Keystone Safety[Tm] Hair Net Contract: TXMAS-25-45004 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: 11/24/2025 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
Ship to Attn: Beatr iz Moreno- Turrub iar tes 713-767-3022 5 1 2 - 9 6 8 - 7 1 8 9 Beatriz.Moreno@dshs.texas.gov
DEPARTMENT OF STATE HEALTH
SERVICES
5425 Polk St Ste 420 Houston TX 77023
MPN: 109I-REG-BLACK
Manufacturer Name: KEYSTONE ADJ.
CAP CO. INC.
1,440 EACH 0.17 $244.80
2 20141 921059684 L Black Nitrile Powder Free 4 Mil Disposable Glove 100Ct Contract: TXMAS-25-45004 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: 11/24/2025 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
Ship to Attn: Beatr iz Moreno- Turrub iar tes 713-767-3022 5 1 2 - 9 6 8 - 7 1 8 9 Beatriz.Moreno@dshs.texas.gov
DEPARTMENT OF STATE HEALTH
SERVICES
5425 Polk St Ste 420 Houston TX 77023
MPN: 6061L
Manufacturer Name: MCR SAFETY
10 EACH 34.75 $347.50
Order Date: 11/14/2025
Internal Tracking No.: 0000389961
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
3 20141 921059694 S Black Nitrile Powder Free 4 Mil Disposable Glove 100Ct Contract: TXMAS-25-45004 Contract Type: TXMAS Delivery ARO (days): 10 Delivery Date: 11/24/2025 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
Ship to Attn: Beatr iz Moreno- Turrub iar tes 713-767-3022 5 1 2 - 9 6 8 - 7 1 8 9 Beatriz.Moreno@dshs.texas.gov
DEPARTMENT OF STATE HEALTH
SERVICES
5425 Polk St Ste 420 Houston TX 77023
MPN: 6061S
Manufacturer Name: MCR SAFETY
10 EACH 37.95 $379.50
Total $971.80
File details come from the government source that posted it. Updated .