26209263-0.pdf

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Attached to
TX|TXMAS-24-61501|26209263
Contract number
26209263
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26209263) issued by the State of Texas Health & Human Services Commission (HHSC) on February 6, 2026. The order is placed with Mono Machines LLC dba Supply Chimp, a New York-based contractor, with billing directed to the San Antonio SH facility and delivery to Felicia Casas at the HHSC location in San Antonio, Texas. The HHSC buyer is Lindsey De La Rosa, and the agency contact for shipment is Margaret Moreno.

The purchase order covers 30 packages of Refill For Dr. Grip Center Of Gravity Pen, Medium, Black Ink (2/Pack) manufactured by Pilot, with part number PIL77271. The unit price is $2.41 per package, resulting in an extended price of $72.30 for the total order. The goods are sourced under Contract TXMAS-24-61501 (TXMAS contract type) with an estimated delivery time of 4 days after receipt of order, with a scheduled delivery date of February 10, 2026. The order is exempt from state and city sales taxes under Texas Tax Code Section 151.309(4), as the purchase is for exclusive use by the State of Texas.

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Text version

Purchase Order PO No. 26209263

Order Date: 2/6/2026

Internal Tracking No.: 0000394861

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

(800) 592-1306

San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223

Felicia Casas 5900 S Presa St San Antonio, TX 78223

NOTE TO CONTRACTOR: PO#: 0000394861

AGENCY CONTACT/SHIP ATTN:

Margaret Moreno margaret.moreno@hhs.texas.gov 210-531-7718

Delivery: Felicia Casas 210-531-7732 Felicia.Casas@hhs.texas.gov Bldg. 817 E0 Basement Rm 0767

HHSC BUYER:

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

AP Email: SAHACCOUNTING@dshs.texas.gov

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. 26209263

Order Date: 2/6/2026

Internal Tracking No.: 0000394861

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62080 4590 Refill For Dr. Grip Center Of Gravity Pen, Medium, Black Ink, 2/Pack Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 2/10/2026

MPN: PIL77271

Manufacturer Name: Pilot

30 PKG 2.41 $72.30

Total $72.30

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