26086451-0.pdf
PDF 17 KB Posted
- Attached to
- TX|TXMAS-25-61501|26086451
- Contract number
- 26086451
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26086451) issued by the Texas Department of State Health Services on 12/18/2025, with M.A.N.S. Distributors, Inc. as the contractor. The purchase order is part of the Texas Multiple Award Schedule (TXMAS) contract TXMAS-25-61501 and involves procuring parchment certificates from Southworth Co. to be delivered to the DSHS Laboratory at 1100 W 49th St in Austin, TX.
The purchase order covers three different types of parchment certificates: 2 packs of Vintage Certificates (Copper with Burgundy/Gold Foil Border, 50/pack) at $15.50 each, 3 packs of Academic Certificates (Ivory with Blue/Silver Foil Border, 15/pack) at $12.93 each, and 2 packs of Traditional Certificates (Ivory with Green Border, 50/pack) at $14.79 each. The total purchase amount is $99.37, with a specified delivery date of 12/23/2025 and a 5-day after receipt of order (ARO) delivery timeline. The packing list is required to show the PO number and contact information, and the items will be shipped to Tammi Javey at the DSHS laboratory.
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Text version
Purchase Order PO No. 26086451
Order Date: 12/18/2025
Internal Tracking No.: 0000391869
Contractor Info Bill To Ship To M.A.N.S. Distributors, Inc.
17526643311 3120 Kellway Drive, Ste. 108 Carrollton, TX 75006
(972) 930-0330
PO BOX 149347
Fiscal Division/Accounts Payable
AUSTIN TX 78714-9347
ATTN Tammi Javey
1100 W 49TH ST
Laboratory L114 FLOOR: 2nd
AUSTIN, TX 78756-3101
Building: Laboratory L-114 Floor: 6th, Room L-655
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000391869 AND ATTN CONTACT INFO *** SHIP TO ATTN Tammi Javey 512-776-3817 ammi.Javey2@dshs.texas.gov REQUESTER De La Paz,Paloma 512/834-6738 paloma.delapaz@dshs.texas.gov 1100 W 49th St (DBGL) Austin TX 78756 ***ATTN DSHS CLAIMS: Send approval requests to LabAccounting@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: 12/18/2025
Internal Tracking No.: 0000391869
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 78532 SOU91350 Parchment Certificates, Vintage, 8.5 X 11, Copper With Burgundy/Gold Foil Border, 50/Pack Contract: TXMAS-25-61501 Contract Type: TXMAS Delivery ARO (days): 5 Delivery Date: 12/23/2025 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Tammi Javey 5 1 2 - 7 7 6 - 3 8 1 7 ammi.Javey2@dshs.texas.gov REQUESTER De La Paz,Paloma 5 1 2 / 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov 1100 W 49th St (DBGL) Austin TX 78756 Building: Laboratory L-114 Floor: 6th, Room L-655
MPN: SOU91350
Manufacturer Name: SOUTHWORTH
CO.
2 EACH 15.50 $31.00
2 78532 SOUCT1R Parchment Certificates, Academic,
8.5 X 11, Ivory With Blue/Silver Foil
Border, 15/Pack Contract: TXMAS-25-61501 Contract Type: TXMAS Delivery ARO (days): 5 Delivery Date: 12/23/2025 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Tammi Javey 5 1 2 - 7 7 6 - 3 8 1 7 ammi.Javey2@dshs.texas.gov REQUESTER De La Paz,Paloma 5 1 2 / 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov 1100 W 49th St (DBGL) Austin TX 78756 Building: Laboratory L-114 Floor: 6th, Room L-655
MPN: SOUCT1R
Manufacturer Name: SOUTHWORTH
CO.
3 EACH 12.93 $38.79
Order Date: 12/18/2025
Internal Tracking No.: 0000391869
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
3 64568 SOU91341 Paper, Parchment Certificates, Traditional, 8.5 X 11, Ivory With Green Border, 50/Pack Contract: TXMAS-25-61501 Contract Type: TXMAS Delivery ARO (days): 5 Delivery Date: 12/23/2025 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Tammi Javey 5 1 2 - 7 7 6 - 3 8 1 7 ammi.Javey2@dshs.texas.gov REQUESTER De La Paz,Paloma 5 1 2 / 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov 1100 W 49th St (DBGL) Austin TX 78756 Building: Laboratory L-114 Floor: 6th, Room L-655
MPN: SOU91341
Manufacturer Name: SOUTHWORTH
CO.
2 EACH 14.79 $29.58
Total $99.37
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