26264474-0.pdf

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Attached to
TX|TXMAS-25-61501|26264474
Contract number
26264474
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 26264474) issued by the State of Texas, Department of State Health Services (Agency 537), on May 14, 2026. The order was placed with M.A.N.S. Distributors, Inc., located in Carrollton, Texas, for delivery to Kaley Dzienowski at 1111 W North Loop, Austin, Texas 78756. The purchasing agent is Marissa Olvera (CTCD, CTCM) from the HHSC, and the internal tracking number is 0000403217. The purchase qualifies for state and city sales tax exemption under Texas Tax Code Section 151.309(4).

The order consists of two line items sourced through Contract TXMAS-25-61501: (1) 2 cartons of Disinfecting Wipes (RAC89346CT) manufactured by Reckitt Benckiser at $66.93 per carton, totaling $133.86, and (2) 1 box of Tissue Facial Plus Lotion (PGC34899CT) manufactured by Procter & Gamble at $58.30 per box, totaling $58.30. Both items are scheduled for delivery within 5 days of the order date, with an estimated delivery date of May 19, 2026. The total purchase order amount is $192.16. Invoicing instructions specify compliance with 34 TAC §20.487 (amended effective May 1, 2022), with invoices to be submitted to invoices@dshs.texas.gov.

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Text version

Purchase Order PO No. 26264474

Order Date: 5/14/2026

Internal Tracking No.: 0000403217

Contractor Info Bill To Ship To M.A.N.S. Distributors, Inc.

17526643311 3120 Kellway Drive, Ste. 108 Carrollton, TX 75006

(972) 930-0330

PO BOX 149347

Fiscal Division/Accounts Payable

AUSTIN TX 78714-9347

Kaley Dzienowski

(737) 867-6138 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: PO#: 0000403217

AGENCY CONTACT:

Kaley Dzienowski Office 737-867-6138 Email: kaley.dzienowski@dshs.texas.gov

Ship To:

Kaley Dzienowski 1111 W North Loop Austin TX 78756

HHSC BUYER:

Marissa Olvera CTCD, CTCM marissa.olvera1@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 -

Marissa Olvera marissa.olvera1@hhs.texas.gov (512) 776-3309

Purchase Order PO No. 26264474

Order Date: 5/14/2026

Internal Tracking No.: 0000403217

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 48583 RAC89346CT Disinfecting Wipes, 1-Ply, 7 X 7.25, C r i s p L i n e n , W h i t e , 8 0 Wipes/Canister, 6 Canisters/Carton Contract: TXMAS-25-61501 Contract Type: TXMAS Delivery ARO (days): 5 Delivery Date: 5/19/2026

MPN: RAC89346CT

Manufacturer Name: RECKITT

BENCKISER

2 CRTN 66.93 $133.86

2 64050 PGC34899CT Tissue Facial, Plus Lotion, 2-Ply, White, 56 Sheets/Box Contract: TXMAS-25-61501 Contract Type: TXMAS Delivery ARO (days): 5 Delivery Date: 5/19/2026

MPN: PGC34899CT

Manufacturer Name: PROCTER &

GAMBLE

1 EACH 58.30 $58.30

Total $192.16

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