26239354-1.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 Change Notice (PO No. 26239354) issued by the Health & Human Services Commission (HHSC) in Austin, Texas, procuring office supplies from Mono Machines LLC dba Supply Chimp, a vendor located in New York. The original purchase order was dated April 1, 2026, with an internal tracking number 0000399118. The change notice was issued on April 10, 2026, reflecting modifications to the initial order. The contract operates under the TXMAS-24-61501 master agreement and is subject to Texas tax exemptions as the purchase is for exclusive state use.
The purchase order covers four line items of office supplies with a total contract value of $709.20. Line 1 specifies 60 boxes of Sharpshooter Heavy-Duty Tacker Staples (MPN: BOSTRA708T, manufacturer: Stanley Bostitch) at $2.62 per box for $157.20. Lines 2 and 3, both Trodat Economy Self-Inking Dater stamps, were originally ordered in quantities of 48 units each but were cancelled and reduced to zero quantity due to vendor L2-3 unavailability, resulting in $0.00 extended amounts. Line 4 includes 96 rolls of Scotch 50 Reinforced Shipping and Strapping Tape (MPN: MMM50, manufacturer: Scotch) at $5.75 per roll for $552.00. All items were scheduled for delivery on April 6, 2026, with a four-day advance receive order (ARO) timeframe. Shipment was directed to Jansin Lacey at the HHSC location in Austin, and invoicing was to be sent to HHSCReg07_AP_Purchases@hhsc.state.tx.us.
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Text version
Purchase Order Change Notice 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:
4/10/2026-04/01/26 PER VENDOR L2-3 UNAVAILABLE-CANCELLED-***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000399118 AND ATTN CONTACT INFO ***Ship to Attn: Jansin Lacey 512-217-8792 jansin.lacey@hhs.texas.govREQUESTER Lavadia,Brett 512-832-7622 brett.lavadia@hhs.texas.gov***SEND INVOICE TO HHSCReg07_AP_Purchases@hhsc.state.tx.us
REVISION HISTORY:
PO Revision #: 1 PO Change Reasons (Aggregated):4/10/2026 7:59 am-Contractor note changed ***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 to: 04/01/26 PER VENDOR L2-3 UNAVAILABLE- CANCELLED-***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000399118 AND ATTN CONTACT INFO ***Ship to Attn:
Jansin Lacey 512-217-8792 jansin.lacey@hhs.texas.govREQUESTER Lavadia,Brett 512-832-7622 brett.lavadia@hhs.texas.gov***SEND INVOICE TO HHSCReg07_AP_Purchases@hhsc.state.tx.us
4/10/2026 7:59 am-Change to Line 3: Quantity has changed from: 48 to: 0
4/10/2026 7:59 am-Change to Line 3: Attatchment changed changed to: 0
4/10/2026 7:59 am-Change to Line 2: Quantity has changed from: 48 to: 0
4/10/2026 7:59 am-Change to Line 2: Attatchment changed changed to: 0
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
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 Amount
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: Mon Apr 06 2026
00:00:00 GMT-0700 (PDT)
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: Mon Apr 06 2026
00:00:00 GMT-0700 (PDT)
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
0 EACH 21.61 $0.00
Order Date: 4/1/2026
Internal Tracking No.: 0000399118
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
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: Mon Apr 06 2026
00:00:00 GMT-0700 (PDT)
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
0 EACH 13.22 $0.00
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: Mon Apr 06 2026
00:00:00 GMT-0700 (PDT)
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 $709.20
File details come from the government source that posted it. Updated .