26028641-0.pdf
PDF 15 KB Posted
- Attached to
- TX|TXMAS-24-61501|26028641
- Contract number
- 26028641
- Issued by
- Texas
About this file
This document is a Purchase Order (PO No. 26028641) issued by the Texas Department of State Health Services (DSHS), Agency 537, with the contractor being Mono Machines LLC dba Supply Chimp, located in New York, NY. The purchase order is processed through the Texas Comptroller of Public Accounts - Statewide Procurement Division, with the agency purchaser being Debra Burns, and is being shipped to April Smith at the DSHS Moreton location in Austin, TX.
The purchase order is for 40 packages of PVC ID Badge Cards (3 3/8 x 2 1/8 inches, white, 100 cards per pack) manufactured by C-Line Products, Inc. The items are being purchased under the TXMAS-24-61501 contract with a unit price of $14.55 per package, totaling $582.00. The delivery is set for 4 days after receipt of order (ARO), with a specific delivery date of 12/8/2025. The order includes specific instructions that the packing list must show the PO number and contact information, and invoices should be sent to the DSHS invoices inbox. The State of Texas claims exemption from federal excise taxes under the Texas Tax Code, Section 151.309(4).
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Text version
Purchase Order PO No. 26028641
Order Date: 12/3/2025
Internal Tracking No.: 0000391069
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 April Smith 1111 W North Loop Austin, TX 78756 Location: DSHS Moreton/2nd floor/M2-100
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000391069 AND ATTN CONTACT INFO *** SHIP TO ATTN April Smith 512-776-2586 apriltherese.smith@dshs.texas.gov Location: DSHS Moreton/2nd floor/M2-100 Send invoices to DSHS Invoices inbox 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
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 08010 9062 Pvc Id Badge Card, 3 3/8 X 2 1/8, White, 100/Pack Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 12/8/2025 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Apr i l Smi th 5 1 2 - 7 7 6 - 2 5 8 6 apriltherese.smith@dshs.texas.gov Location: DSHS Moreton/2nd floor/ M2-100
MPN: CLI89007
Manufacturer Name: C-Line Products, Inc.
40 PKG 14.55 $582.00
Purchase Order PO No. 26028641
Order Date: 12/3/2025
Internal Tracking No.: 0000391069
Total $582.00
File details come from the government source that posted it. Updated .