26217645-0.pdf

PDF 15 KB Posted

Attached to
TX|TXMAS-24-61501|26217645
Contract number
26217645
Issued by
Texas

About this file

This is a State of Texas Purchase Order (PO No. 26217645) issued on March 24, 2026, by the Department of State Health Services (DSHS), Agency 537, to Mono Machines LLC dba Supply Chimp, a New York-based supplier. The purchase order is managed by HHSC Buyer Carlos M Mojica with agency contact Amethyst Jones. The order is being delivered to 1111 W North Loop, Austin, TX 78756, with billing to 1100 West 49th Street, Austin, TX 78756.

The purchase order is for 10 units of Saunders plastic clipboards (Model SAU21803, NIGP Code 78515, Commodity Code 37351) with 1-inch capacity, clear finish, designed to hold 8.5" x 11" documents. The unit price is $5.77 per clipboard with an extended price of $57.70 for the total order. The items are sourced under contract TXMAS-24-61501 with a standard delivery timeframe of 4 days, with a scheduled delivery date of March 30, 2026. The State of Texas is exempt from federal excise taxes and state and local sales taxes under Texas Tax Code Section 151.309(4).

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Text version

Purchase Order PO No. 26217645

Order Date: 3/24/2026

Internal Tracking No.: HHSTX-6-0000398217

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

1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: PO#: HHSTX-6-0000398217

AGENCY CONTACT:

Amethyst Jones Amethyst.Jones@dshs.texas.gov

HHSC BUYER:

Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov

DELIVERY:

1111 W North Loop Austin TX 78756

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 -

Carlos Mojica carlos.mojica01@hhs.texas.gov (512) 705-1880

Purchase Order PO No. 26217645

Order Date: 3/24/2026

Internal Tracking No.: HHSTX-6-0000398217

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 78515 37351 Plastic Clipboard, 1 In - Capacity, Holds 8-1/2W X 11H, Clear Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 3/30/2026

MPN: SAU21803

Manufacturer Name: Saunders

10 EACH 5.77 $57.70

Total $57.70

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