26158774-0.pdf

PDF 15 KB Posted

Attached to
TX|TXMAS-24-61501|26158774
Contract number
26158774
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26158774) issued by the State of Texas Health and Human Services Commission (HHSC) to Mono Machines LLC dba Supply Chimp, a vendor located in New York. The order was placed on January 22, 2026, with an internal tracking number of 0000393693. The purchasing agent is Lindsey De La Rosa of HHSC, and the agency contact for shipping and delivery is Jeff Blue. The State of Texas claims exemption from all Federal Excise Taxes and State and City sales taxes under Texas Tax Code Section 151.309(4).

The purchase order covers Tech No Tear Catalog Envelopes with poly lining (10 x 13, white, 100 per box) manufactured by Quality Park (MPN: QUA77397). The order specifies five boxes at a unit price of $42.60 per box for an extended price of $213.00. The item is procured under contract TXMAS-24-61501 with a TXMAS contract type. The delivery is scheduled for January 26, 2026, with an anticipated receipt timeframe of four days from the order date. Invoices are to be submitted in accordance with 34 TAC §20.487, amended effective May 1, 2022, with payment directed to HHSC_AP@hhsc.state.tx.us.

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Text version

Purchase Order PO No. 26158774

Order Date: 1/22/2026

Internal Tracking No.: 0000393693

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

(800) 592-1306

Health and Human Services Commission 4601 Guadalupe St Austin TX 78751

Jeffrey Blue 12300 Technology Blvd Austin, TX 78727

NOTE TO CONTRACTOR: PO#: 0000393693

AGENCY CONTACT/SHIP ATTN:

Jeff Blue 512-250-7147 jeffrey.blue@hhs.texas.gov

HHSC BUYER:

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

AP Email: HHSC_AP@hhsc.state.tx.us

Invoice 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 Purchaser Email Phone

Health & Human Services Commission - 529

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

Purchase Order PO No. 26158774

Order Date: 1/22/2026

Internal Tracking No.: 0000393693

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 31067 34684 Tech No Tear Catalog Envelope, Poly Lining, 10 X 13, White, 100/Box Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 1/26/2026

MPN: QUA77397

Manufacturer Name: Quality Park

5 BOX 42.60 $213.00

Total $213.00

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