26209938-0.pdf

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Attached to
TX|TXMAS-24-61501|26209938
Contract number
26209938
Issued by
Texas

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Document Summary

This is a purchase order (PO No. 26209938) issued by the State of Texas Department of State Health Services (DSHS), Agency 537, to Mono Machines LLC dba Supply Chimp, a vendor located in New York, New York. The order was placed on February 12, 2026, with an internal tracking number 0000395164. The purchasing agent is Lindsey De La Rosa, and the agency contact for shipment is Roberte "Bobbie" Warr. The order is being shipped to an address in Austin, Texas. The purchase is exempt from state and city sales taxes under Texas Tax Code Section 151.309(4) as property for the exclusive use of the State of Texas.

The purchase order contains three line items for office supplies totaling $95.46. The items include six packages of Sparco composition books (MPN 36126) at $2.29 per unit for $13.74; six Pacon Marble Hard Cover Quad Rule composition books (MPN MMK37103) at $6.93 each for $41.58; and six Tops Focusnotes notebooks, 11" x 9" with 100 sheets (MPN 90223) at $6.69 each for $40.14. All items are sourced through contract TXMAS-24-61501 under the TXMAS contract type, with an expected delivery date of February 16, 2026, allowing for four days of arrival and receipt/acceptance.

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Text version

Purchase Order PO No. 26209938

Order Date: 2/12/2026

Internal Tracking No.: 0000395164

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

Roberte Warr 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: PO#: 0000395164

AGENCY CONTACT/SHIP ATTN:

Roberte "Bobbie" Warr Bobbie.Warr@dshs.texas.gov 737-867-6145

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

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 -

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

Purchase Order PO No. 26209938

Order Date: 2/12/2026

Internal Tracking No.: 0000395164

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 78573 104396 Sparco 36126 Composition Books.

Composition Book Is Bound In Sturdy Covers To Keep Your Important Information Protected.

Front Cover Features A Area To Write Your Name And Subject For Quick Reference.

Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 2/16/2026

MPN: 36126

Manufacturer Name: Sparco

6 PKG 2.29 $13.74

2 78573 116854 Pacon Marble Hard Cover Quad Rule Composition Book Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 2/16/2026

MPN: MMK37103

Manufacturer Name: Pacon

6 EACH 6.93 $41.58

3 78573 96884 Tops Focusnotes Notebook, 11 In X 9", White, 100 Sh - 100 Sheets - 20 Lb Basis Weight - Quarto 9 In X 11 In - 1Each - White Paper Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 2/16/2026

MPN: 90223

Manufacturer Name: TOPS Products

6 EACH 6.69 $40.14

Total $95.46

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