26157762-1.pdf

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Attached to
TX|TXMAS-24-61501|26157762
Contract number
26157762
Issued by
Texas

About this file

This document is a Purchase Order Change Notice (PO No. 26157762) issued by the Texas Department of State Health Services (DSHS) on 1/15/2026, involving Mono Machines LLC doing business as Supply Chimp, located in New York, NY. The purchase order is associated with the Texas Multiple Award Schedule (TXMAS) contract number TXMAS-24-61501, and includes contact information for key personnel such as Patricia Cortez from the agency and Lindsey De La Rosa as the HHSC Buyer.

The purchase order is for one package of Neenah Paper Exact Index Card Stock (MPN: WAU40411), manufactured by Wausau Paper, priced at $12.32. The card stock specifications include 110Lb weight, 94 Bright, white color, sized 8 1/2 x 11 inches, with 250 sheets per package. The delivery is set for 4 days after receipt of order (ARO), with a specific delivery date of Monday, January 19, 2026. The order is tax-exempt under Texas Tax Code Section 151.309(4) as a purchase for the exclusive use of the State of Texas.

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Text version

Purchase Order Change Notice PO No. 26157762

Order Date: 1/15/2026

Internal Tracking No.: 0000393283

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

(800) 592-1306

1100 West 49th Street

MC: 3063

Austin TX 78756

Patricia Cortez 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR:

1 / 1 5 / 2 0 2 6 - P O # : 0 0 0 0 3 9 3 2 8 3 A G E N C Y C O N TA C T / S H I P AT T N : P a t r i c i a Cortezpatsy.cortez@dshs.texas.gov512.776.7363HHSC BUYER:Lindsey De La Rosalindsey.delarosa@hhs.texas.govAP Email: invoices@dshs.texas.govInvoice per 34 TAC §20.487, amended effective 5-1-22

REVISION HISTORY:

PO Revision #: 1 PO Change Reasons (Aggregated):1/15/2026 11:38 am-Internal tracking number changed from: 0000393276 to: 0000393283

1/15/2026 11:38 am-Contractor note changed PO#: 0000393276

AGENCY CONTACT/SHIP ATTN:

Patricia Cortez patsy.cortez@dshs.texas.gov

512.776.7363

HHSC BUYER:

Lindsey De La Rosa lindsey.delarosa@hhs.texas.gov

AP Email: invoices@dshs.texas.gov

Invoice per 34 TAC §20.487, amended effective 5-1-22 to: PO#: 0000393283 AGENCY CONTACT/SHIP ATTN:Patricia Cortezpatsy.cortez@dshs.texas.gov512.776.7363HHSC BUYER:Lindsey De La Rosalindsey.delarosa@hhs.texas.govAP Email:

invoices@dshs.texas.govInvoice per 34 TAC §20.487, amended effective 5-1-22

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. 26157762

Order Date: 1/15/2026

Internal Tracking No.: 0000393283

Dept Of State Health Services -

Lindsey- De-La-Rosa- lindsey.delarosa@hhs.texas.gov (512) 294-3627

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price

Extended Amount

1 03723 42641 Neenah Paper 40411 Exact Index Card Stock, 110Lb, 94 Bright, 8 1/2 X 11, White, 250 Sheets Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: Mon Jan 19 2026

00:00:00 GMT-0800 (PST)

MPN: WAU40411

Manufacturer Name: Wausau Paper

1 PKG 12.32 $12.32

Total $12.32

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