26264814-0.pdf
PDF 16 KB Posted
- Attached to
- TX|TXMAS-24-61501|26264814
- Contract number
- 26264814
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26264814) issued by the State of Texas Department of State Health Services (DSHS) to Mono Machines LLC dba Supply Chimp for office supplies. The order was placed on May 15, 2026, with delivery to the DSHS facility at 3407 Pony Express Way in Amarillo, Texas. The primary agency contact is Dora Reyna, and the HHSC buyer is Carlos M Mojica. The order is exempt from state and city sales taxes under Texas Tax Code Section 151.309(4).
The purchase order covers three line items of office supplies totaling $334.96: five boxes of Smead 14600 Manila Heavy-Duty Fastener File Folders at $54.24 per box ($271.20 total), two boxes of Sarasa Retractable Gel Pens (Black Ink, Medium, 24-pack) at $24.08 per box ($48.16 total), and four packages of Zebra gel ink pens at $3.90 per package ($15.60 total). All items are contracted under TXMAS-24-61501 with a four-day advanced receive order (ARO) delivery window, with a delivery date of May 19, 2026. Invoicing is to be submitted per 34 TAC §20.487, amended effective May 1, 2022.
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Text version
Purchase Order PO No. 26264814
Order Date: 5/15/2026
Internal Tracking No.: HHSTX-6-0000403516
Contractor Info Bill To Ship To Mono Machines LLC dba Supply Chimp 12634995182 228 Park Ave S New York, NY 10003
(800) 592-1306
1100 West 49th Street
MC: 3063
Austin TX 78756
Dora Reyna
(806) 477-1108 Department of State Health Services 3407 Pony Express Way Amarillo, TX 79118
NOTE TO CONTRACTOR: PO#: HHSTX-6-0000403516
AGENCY CONTACT:
Dora Reyna dora.reyna@dshs.texas.gov 806-477-1108
HHSC BUYER:
Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov
DELIVERY:
3407 Pony Express Way Amarillo TX 79118
Invoice per 34 TAC §20.487, amended effective May 1, 2022
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 -
Carlos Mojica carlos.mojica01@hhs.texas.gov (512) 705-1880
Purchase Order PO No. 26264814
Order Date: 5/15/2026
Internal Tracking No.: HHSTX-6-0000403516
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 61541 95128 Smead 14600 Manila Heavy-Duty Fastener File Folders - Letter - 8.50 In Width X 11 In Length Sheet Size - 2 Fastener - 1/3 Tab Cut - Assorted Position Tab Location - 18 Pt. - Manila - 50 / Box.
Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 5/19/2026
MPN: 14600
Manufacturer Name: Smead
5 BOX 54.24 $271.20
2 62080 4498 Sarasa Retractable Gel Pen, Black Ink, Medium, 24/Pack Rapid Dry Ink Technology. No Smears, No Smudges. For Lefties. Transparent Barrel For Ink Visibility.
Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 5/19/2026
MPN: ZEB14680
Manufacturer Name: Zebra Pen Corporation
2 BOX 24.08 $48.16
3 62080 4526 Gel Ink Will Assure Your Style Gets Noticed. Releases A Smooth Ink Flow Producing Clean, Crisp Lines.
Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 5/19/2026
MPN: ZEB87022
Manufacturer Name: Zebra Pen Corporation
4 PKG 3.90 $15.60
Total $334.96
File details come from the government source that posted it. Updated .