26239515-0.pdf

PDF 15 KB Posted

Attached to
TX|TXMAS-25-45004|26239515
Contract number
26239515
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26239515) issued by the State of Texas, Department of State Health Services (Agency 537), to Fastenal Company, a supplier based in Winona, Minnesota. The order was placed on April 2, 2026, with an internal tracking number of 0000399243. Nicole Smith of the CTCD/CTCM serves as the HHSC Buyer, while Anne Marie Layton is the Agency Contact. The purchase order is governed under contract TXMAS-25-45004, a TXMAS-type statewide procurement contract.

The order specifies the purchase of 32 units of 6-1/2" to 8-1/2" White Type 2 Class E Hard Hats (Manufacturer Part Number 48-73-1301, manufactured by BOLT) at a unit price of $113.56, for an extended price of $3,633.92. The delivery is scheduled for April 9, 2026, with a requested delivery timeframe of 7 days from order date. The goods are to be shipped to Anne Marie Layton at 1111 W North Loop, Austin, TX 78756, with invoicing directed to the Fiscal Division/Accounts Payable office in Austin. The State of Texas claims a sales tax exemption under Texas Tax Code Section 151.309(4) for this purchase of tangible personal property for state use.

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Text version

Purchase Order PO No. 26239515

Order Date: 4/2/2026

Internal Tracking No.: 0000399243

Contractor Info Bill To Ship To Fastenal Company 14109484155 2001 Theurer Blvd.

Winona, MN 55987

(833) 790-9932

PO BOX 149347

Fiscal Division/Accounts Payable

AUSTIN TX 78714-9347

Anne Marie Layton 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: PO#: 0000399243

AGENCY CONTACT:

Anne Marie Layton anne.layton@dshs.texas.gov 713/218-7986

HHSC BUYER:

Nicole Smith, CTCD, CTCM Nicole.Smith1@hhs.texas.gov

AP Email: invoices@dshs.texas.gov

Invoice per 34 TAC §20.487, amended effective 5-1-22

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 -

Nicole Smith Nicole.Smith1@hhs.texas.gov (512) 776-2039

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 34556 922475226 6-1/2" - 8-1/2" White Type 2 Class E Hard Hat Contract: TXMAS-25-45004 Contract Type: TXMAS Delivery ARO (days): 7 Delivery Date: 4/9/2026

MPN: 48-73-1301

Manufacturer Name: BOLT

32 EACH 113.56 $3,633.92

Purchase Order PO No. 26239515

Order Date: 4/2/2026

Internal Tracking No.: 0000399243

Total $3,633.92

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