26242087-0.pdf

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Attached to
TX|TXMAS-25-45004|26242087
Contract number
26242087
Issued by
Texas

About this file

Purchase Order Summary

This purchase order (PO No. 26242087) issued on April 21, 2026, is a state procurement document from the Texas Department of State Health Services (DSHS), Agency 537. The purchasing agent is Debra Burns. The contractor is Fastenal Company, located in Winona, Minnesota. The order is being delivered to the DSHS Moreton facility in Austin, Texas, specifically to the Health Promotion and Chronic Disease Prevention Section on the third floor, room M-324.3, with receipt directed to Ashley King.

The order comprises two items manufactured by The Libman Company under contract TXMAS-25-45004: one 36"Wx65"L white and red cotton dust mop (MPN 0924006) priced at $62.56, and one red dust pan with whisk broom (MPN 0906006) priced at $8.36. The total order value is $70.92 with no sales tax applied under the State of Texas exemption. Both items have a delivery timeframe of seven days with a scheduled delivery date of April 28, 2026. The packing list must reference PO number 0000400977 and include contact information for Ashley King. Invoices are to be submitted to invoices@dshs.texas.gov.

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Text version

Purchase Order PO No. 26242087

Order Date: 4/21/2026

Internal Tracking No.: 0000400977

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

ATTN Ashley King

(512) 776-2372 1111 W North Loop Austin, TX 78756 Location: DSHS Moreton/3rd floor/M-324.3

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000400977 AND ATTN CONTACT INFO *** SHIP TO ATTN Ashley King, (512) 776-2372 Ashley.King@dshs.texas.gov

WAREHOUSE DELIVERY INFORMATION

CHI/Health Promotion and Chronic Disease Prevention Section Location: DSHS Moreton/3rd floor/M-324.3 ***Send invoices to DSHS Invoices email invoices@dshs.texas.gov

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 -

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564

Purchase Order PO No. 26242087

Order Date: 4/21/2026

Internal Tracking No.: 0000400977

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 48570 0627348 36"Wx65"L White/Red Cotton Dust Mop Contract: TXMAS-25-45004 Contract Type: TXMAS Delivery ARO (days): 7 Delivery Date: 4/28/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Ashley King, (512) 7 7 6 - 2 3 7 2 Ashley.King@dshs.texas.gov

WA R E H O U S E D E L I V E RY

INFORMATION

CHI/Health Promotion and Chronic Disease Prevention Section Location: DSHS Moreton/3rd floor/ M-324.3

MPN: 0924006

Manufacturer Name: THE LIBMAN

COMPANY

1 EACH 62.56 $62.56

2 48510 0627294 Red Dust Pan W/ Whisk Broom Contract: TXMAS-25-45004 Contract Type: TXMAS Delivery ARO (days): 7 Delivery Date: 4/28/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Ashley King, (512) 7 7 6 - 2 3 7 2 Ashley.King@dshs.texas.gov

WA R E H O U S E D E L I V E RY

INFORMATION

CHI/Health Promotion and Chronic Disease Prevention Section Location: DSHS Moreton/3rd floor/ M-324.3

MPN: 0906006

Manufacturer Name: THE LIBMAN

COMPANY

1 EACH 8.36 $8.36

Total $70.92

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