26212443-0.pdf
PDF 16 KB Posted
- Attached to
- TX|TXMAS-24-61501|26212443
- Contract number
- 26212443
- Issued by
- Texas
About this file
Purchase Order Summary
This is a Purchase Order (PO No. 26212443) issued by the State of Texas Department of State Health Services on March 3, 2026, to Mono Machines LLC dba Supply Chimp, a New York-based supplier. The order is being shipped to the Department of State Health Services location in Amarillo, Texas, with Queta Whitfield designated as the agency contact. The purchaser is identified as Maricella Duran from the Department of State Health Services (Agency 537).
The purchase order covers two line items totaling $109.42: six boxes of Earthwise by Oxford 100% Recycled Paper Twin-Pocket Portfolios (manufactured by Oxford, part number OXF78511) at $14.13 per box for an extended price of $84.78, and two boxes of Micro-Perforated Inserts by Avery (part number AVE5390) at $12.32 per box for an extended price of $24.64. Both items are being procured under the TXMAS-24-61501 contract (TXMAS contract type) with an estimated delivery within four days (delivery date of March 9, 2026). The State of Texas is exempt from sales and excise taxes on this purchase of tangible personal property.
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Text version
Purchase Order PO No. 26212443
Order Date: 3/3/2026
Internal Tracking No.: 0000396025
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
Queta Whitfield Department of State Health Services 3407 Pony Express Way Amarillo, TX 79118 Email: Queta.Whitfield@dshs.texas.gov
NOTE TO CONTRACTOR: Agency contact:
Name: Queta Whitfield Email: Queta.Whitfield@dshs.texas.gov Number: (806) 783-6413
AP Email: invoices@dshs.texas.gov
Invoice per 34 TAC §20.487, amended effective May 1, 2022
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 -
Maricella Duran maricella.duran@hhs.texas.gov (512) 000-0000
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 61541 63608 Earthwise By Oxford 100% Recycled Paper Twin-Pocket Portfolio, Redecological And Functional.Serves Two Purposes Well.
Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 3/9/2026
MPN: OXF78511
Manufacturer Name: Oxford
6 BOX 14.13 $84.78
Purchase Order PO No. 26212443
Order Date: 3/3/2026
Internal Tracking No.: 0000396025
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
2 08010 13669 Micro-Perforated Inserts Separate Cleanly Leaving Edges. Inserts Work With Badge Holders (Available Separately). To Customize With Free Templates From Avery Design & Print. 8 1/2 In X 11 In Sheets For Laser And Inkjet Printers.
Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 3/9/2026
MPN: AVE5390
Manufacturer Name: Avery
2 BOX 12.32 $24.64
Total $109.42
File details come from the government source that posted it. Updated .