26212646-1.pdf
PDF 17 KB Posted
- Attached to
- TX|TXMAS-25-61501|26212646
- Contract number
- 26212646
- Issued by
- Texas
About this file
This is a Purchase Order Change Notice (PO No. 26212646) issued by the State of Texas, Health and Human Services Commission (HHSC), to M.A.N.S. Distributors, Inc., a vendor based in Carrollton, Texas. The purchase order, dated March 4, 2026, with an internal tracking number of HHSTX-6-0000396552, reflects a revision made on March 5, 2026. The order is billed to HHSC at 4601 Guadalupe Street in Austin, Texas, and the goods are to be shipped to the Richmond SSLC Warehouse at 2100 Preston in Richmond, Texas. Key contacts include Diana Dockal (Agency Contact) and Lisa Freeman (HHSC Buyer). The purchase is made under the Texas Comptroller of Public Accounts Statewide Procurement Division and qualifies for state and city sales tax exemption under Texas Tax Code Section 151.309(4).
The purchase order covers four line items of office supplies, all sourced through Contract TXMAS-25-61501 with a delivery timeframe of five days and a scheduled delivery date of March 9, 2026. The items include Ultra Tabs Repositionable Tabs (3 units at $9.59 each), File Pockets Earthwise by Pendaflex (3 units at $5.26 each), Customizable Table of Contents Ready Index Dividers with 10-Tab (2 units at $14.65 each), and Customizable Table of Contents Ready Index Dividers with 8-Tab (2 units at $11.83 each). The revision history indicates that all four line items experienced quantity increases on March 5, 2026 at 9:53 a.m., with Line 1 increasing from 2 to 3 units, Line 2 from 2 to 3 units, Line 3 from 1 to 2 units, and Line 4 from 1 to 2 units. The total order value is $97.51.
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Text version
Purchase Order Change Notice PO No. 26212646
Order Date: 3/4/2026
Internal Tracking No.: HHSTX-6-0000396552
Contractor Info Bill To Ship To M.A.N.S. Distributors, Inc.
17526643311 3120 Kellway Drive, Ste. 108 Carrollton, TX 75006
(972) 930-0330
Health and Human Services Commission 4601 Guadalupe St Austin TX 78751
Richmond SSLC Whse 2100 Preston Richmond, TX 77469
NOTE TO CONTRACTOR:
Diana Dockal diana.dockal@hhs.texas.gov
HHSC BUYER:
Lisa Freeman lisa.freeman@hhs.texas.gov
VENDOR:
1752664331
MANS Distributors
3/4/2026-AGENCY CONTACT:
Diana Dockal diana.dockal@hhs.texas.gov
HHSC BUYER:
Lisa Freeman lisa.freeman@hhs.texas.gov
VENDOR:
1752664331
MANS Distributors
3/5/2026-AGENCY CONTACT:
Diana Dockal diana.dockal@hhs.texas.gov
HHSC BUYER:
Lisa Freeman lisa.freeman@hhs.texas.gov
VENDOR:
1752664331
MANS Distributors
Order Date: 3/4/2026
Internal Tracking No.: HHSTX-6-0000396552
REVISION HISTORY:
PO Revision #: 1 PO Change Reasons (Aggregated):3/5/2026 9:53 am-Change to Line 4: Quantity has changed from: 1 to: 2
3/5/2026 9:53 am-Change to Line 3: Quantity has changed from: 1 to: 2
3/5/2026 9:53 am-Change to Line 2: Quantity has changed from: 2 to: 3
3/5/2026 9:53 am-Change to Line 1: Quantity has changed from: 2 to: 3
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
Health & Human Services Commission - 529
Lisa Freeman Lisa.Freeman@hhs.texas.gov (512) 406-2567
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
1 64551 AVE74776 Ultra Tabs Repositionable Tabs, Wide And Slim: 3" X 1.5", 1/3-Cut, White, 24/Pack Contract: TXMAS-25-61501 Contract Type: TXMAS Delivery ARO (days): 5 Delivery Date: Mon Mar 09 2026
00:00:00 GMT-0700 (PDT)
MPN: AVE74776
Manufacturer Name: AVERY
PRODUCTS CORPORATION
3 EACH 9.59 $28.77
2 61545 PFXE1534G File Pockets, Earthwise By Pendaflex Recycled, 5.25" Expansion, Letter Size, Red Fiber Contract: TXMAS-25-61501 Contract Type: TXMAS Delivery ARO (days): 5 Delivery Date: Mon Mar 09 2026
00:00:00 GMT-0700 (PDT)
MPN: PFXE1534G
Manufac turer Name: TOPS
BUSINESS FORMS
3 EACH 5.26 $15.78
Order Date: 3/4/2026
Internal Tracking No.: HHSTX-6-0000396552
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
3 64551 AVE11082 Customizable Table Of Contents Ready Index Dividers With Multicolor Tabs, 10-Tab, 1 To 10, 11 X 8.5, White, 3 Sets Contract: TXMAS-25-61501 Contract Type: TXMAS Delivery ARO (days): 5 Delivery Date: Mon Mar 09 2026
00:00:00 GMT-0700 (PDT)
MPN: AVE11082
Manufacturer Name: AVERY
PRODUCTS CORPORATION
2 EACH 14.65 $29.30
4 64551 AVE11081 Customizable Table Of Contents Ready Index Dividers With Multicolor Tabs, 8-Tab, 1 To 8, 11 X 8.5, White, 3 Sets Contract: TXMAS-25-61501 Contract Type: TXMAS Delivery ARO (days): 5 Delivery Date: Mon Mar 09 2026
00:00:00 GMT-0700 (PDT)
MPN: AVE11081
Manufacturer Name: AVERY
PRODUCTS CORPORATION
2 EACH 11.83 $23.66
Total $97.51
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