26268430-0.pdf
PDF 15 KB Posted
- Attached to
- TX|TXMAS-24-61501|26268430
- Contract number
- 26268430
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26268430) issued by the State of Texas, Department of State Health Services (DSHS), Agency 537, on June 8, 2026. The purchasing agent is Debra Burns, and the order is placed with Mono Machines LLC, doing business as Supply Chimp, located in New York, NY. The goods will be delivered to the DSHS Laboratory L-114 facility in Austin, Texas, with Josephine Briseno designated as the receiving contact.
The purchase order covers two cartons of Envelope Moistener with Adhesive (50 mL, 12 cartons per case) manufactured by Quality Park (MPN: QUA46067CT), procured under the TXMAS-24-61501 contract. The unit price is $35.72 per carton, with a total order value of $71.44. The expected delivery date is June 12, 2026, with a 4-day advance request for order (ARO) timeframe. The State of Texas is exempt from federal excise taxes and sales taxes under Texas Tax Code Section 151.309(4). Invoices must be sent to invoices@dshs.texas.gov, and the packing list must include the PO number and contact information for Josephine Briseno.
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Text version
Purchase Order PO No. 26268430
Order Date: 6/8/2026
Internal Tracking No.: 0000405991
Contractor Info Bill To Ship To Mono Machines LLC dba Supply Chimp 12634995182 228 Park Ave S New York, NY 10003
(800) 592-1306
PO BOX 149347
Fiscal Division/Accounts Payable
AUSTIN TX 78714-9347
ATTN Josephine Briseno
(512) 776-7430
1100 W 49TH ST
Laboratory L114 FLOOR: 2nd
AUSTIN, TX 78756-3101
BUILDING: Laboratory L-114 FLOOR: 2nd RM:
L-204.1
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000405991 AND ATTN CONTACT INFO *** SHIP TO ATTN Josephine Briseno 512-776-7430 Josephine.Briseno@dshs.texas.gov
FOR DSHS INTERNAL DELIVERY INFO:
BUILDING: Laboratory L-114 FLOOR: 2nd RM: L-204.1 ****SEND INVOICE TO 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. 26268430
Order Date: 6/8/2026
Internal Tracking No.: 0000405991
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 31030 225269 Qua46067 Envelope Moistener W Adhesive 50 Ml 12Carton Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 6/12/2026 Notes: 12/ctn
***PACKING LIST REQUIRED TO
SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Josephine Briseno 5 1 2 - 7 7 6 - 7 4 3 0 Josephine.Briseno@dshs.texas.gov
FOR DSHS INTERNAL DELIVERY
INFO:
BUILDING: Laboratory L-114 FLOOR:
2nd RM: L-204.1 CONTACT: Josephine Briseno
DELIVERY CODE: 4546
MPN: QUA46067CT
Manufacturer Name: Quality Park
2 CRTN 35.72 $71.44
Total $71.44
File details come from the government source that posted it. Updated .