26239354-0.pdf
PDF 18 KB Posted
- Attached to
- TX|TXMAS-24-61501|26239354
- Contract number
- 26239354
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26239354) issued on April 1, 2026, by the State of Texas Health & Human Services Commission (HHSC) to Mono Machines LLC dba Supply Chimp, located in New York, New York. The order was placed through the Statewide Procurement Division under the agency code 529. The purchase was processed by Debra Burns, the designated state purchaser. All items are to be shipped to the HHSC office in Austin, Texas, with delivery attention directed to Jansin Lacey.
The purchase order covers four line items of office supplies totaling $2,381.04, all sourced under contract TXMAS-24-61501 with a four-day delivery window (delivery date April 6, 2026). The items include 60 boxes of Sharpshooter Heavy-Duty Tacker Staples at $2.62 per box ($157.20 total); 48 Trodat Economy Stamps with blue/red dater function at $21.61 each ($1,037.28 total); 48 Trodat Economy Stamps with black dater function at $13.22 each ($634.56 total); and 96 rolls of Scotch 50 Reinforced Shipping and Strapping Tape at $5.75 per roll ($552.00 total). The State of Texas claims exemption from federal excise taxes and state and city sales taxes under Texas Tax Code Section 151.309(4). Invoices are to be submitted to HHSCReg07_AP_Purchases@hhsc.state.tx.us, and a packing list showing the PO number and contact information is required for shipment.
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Text version
Purchase Order PO No. 26239354
Order Date: 4/1/2026
Internal Tracking No.: 0000399118
Contractor Info Bill To Ship To Mono Machines LLC dba Supply Chimp 12634995182 228 Park Ave S New York, NY 10003
(800) 592-1306
Attn Accounts payable 4616-1 West Howard Lane Austin TX 78728
Attn: Jansin Lacey
HEALTH & HUMAN SERVICES COMMISSION
9011 Tuscany Way Ste 400 Austin, TX 78754
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000399118 AND ATTN CONTACT INFO *** Ship to Attn: Jansin Lacey 512-217-8792 jansin.lacey@hhs.texas.gov REQUESTER Lavadia,Brett 512-832-7622 brett.lavadia@hhs.texas.gov ***SEND INVOICE TO HHSCReg07_AP_Purchases@hhsc.state.tx.us
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
Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564
Order Date: 4/1/2026
Internal Tracking No.: 0000399118
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 61581 14799 Sharpshooter Heavy-Duty Tacker Staples, 1/2 In Leg Length, 1000/Box Developed For Supreme In Heavy- Duty Stapling Tasks. Sturdy Plastic Package For Storage.
Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 4/6/2026 Notes: **PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
Ship to At tn : Jans in Lacey 5 1 2 - 2 1 7 - 8 7 9 2 jansin.lacey@hhs.texas.gov REQUESTER Lavadia,Bret t 5 1 2 - 8 3 2 - 7 6 2 2 brett.lavadia@hhs.texas.gov
MPN: BOSTRA708T
Manufacturer Name: Stanley Bostitch
60 BOX 2.62 $157.20
2 61577 8831 Trodat Economy Stamp, Dater, Self- Inking, 1 5/8 X 1, Blue/Red, Self- Inking Dater Rapid, Repeat Impressions. Replaceable Stamp Pad Up To 10,000 Impressions.
Four-Band Date: Months, Days And 10 Years.
Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 4/6/2026 Notes: **PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
Ship to At tn : Jans in Lacey 5 1 2 - 2 1 7 - 8 7 9 2 jansin.lacey@hhs.texas.gov REQUESTER Lavadia,Bret t 5 1 2 - 8 3 2 - 7 6 2 2 brett.lavadia@hhs.texas.gov
MPN: USSE4752
Manufacturer Name: Trodat
48 EACH 21.61 $1,037.28
Order Date: 4/1/2026
Internal Tracking No.: 0000399118
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
3 61577 8832 Trodat Economy Stamp, Dater, Self- Inking, 1 5/8 X 3/8, Black, Self-Inking Dater Rapid, Repeat Impressions.
Replaceable Stamp Pad Up To 10,000 Impressions. Four-Band Date: Months, Days And 10 Years.
Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 4/6/2026 Notes: **PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
Ship to At tn : Jans in Lacey 5 1 2 - 2 1 7 - 8 7 9 2 jansin.lacey@hhs.texas.gov REQUESTER Lavadia,Bret t 5 1 2 - 8 3 2 - 7 6 2 2 brett.lavadia@hhs.texas.gov
MPN: USSE4820
Manufacturer Name: Trodat
48 EACH 13.22 $634.56
4 61588 30641 Scotch 50 Reinforced Shipping And Strapping Tape W/Dispenser, 2" X 10Yds, 1 1/2" Core Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 4/6/2026 Notes: **PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
Ship to At tn : Jans in Lacey 5 1 2 - 2 1 7 - 8 7 9 2 jansin.lacey@hhs.texas.gov REQUESTER Lavadia,Bret t 5 1 2 - 8 3 2 - 7 6 2 2 brett.lavadia@hhs.texas.gov
MPN: MMM50
Manufacturer Name: Scotch
96 ROLL 5.75 $552.00
Total $2,381.04
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