26281205-0.pdf

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Attached to
TX|TXMAS-25-61501|26281205
Contract number
26281205
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 26281205) issued by the State of Texas Health and Human Services Commission (HHSC) to M.A.N.S. Distributors, Inc., a supplier located in Carrollton, Texas. The order was placed on June 22, 2026, with delivery scheduled to HHSC's facility at 1067 Bandera Road in San Antonio, Texas. The procurement process is managed under the state's statewide procurement division, with Lindsey De La Rosa serving as the HHSC buyer and Jennette Arocha as the agency contact and shipping recipient.

The purchase order covers five units of Fendall Eyesaline Eyewash Saline Solution Bottle Refill (32 oz bottles) manufactured by Honeywell Environmental, with a unit price of $21.34 per bottle and an extended total of $106.70. The item is procured under TXMAS Contract TXMAS-25-61501, with a delivery timeline of approximately 5 days from order date (delivery date June 29, 2026). As an official state purchase, the order is exempt from federal excise taxes and state and city sales taxes under Texas Tax Code Section 151.309(4).

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Text version

Purchase Order PO No. 26281205

Order Date: 6/22/2026

Internal Tracking No.: 0000407313

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

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

(972) 930-0330

HHSC -1067 BANDERA RD

SAN ANTONIO TX 78228

Jennette Arocha

(210) 209-6214 1067 Bandera Rd San Antonio, TX 78228

NOTE TO CONTRACTOR: PO#: 0000407313

AGENCY CONTACT/SHIP ATTN:

Jennette Arocha 210-209-6214

JENNETTE.AROCHA@HHS.TEXAS.GOV

HHSC BUYER:

Lindsey De La Rosa lindsey.delarosa@hhs.texas.gov

AP Email: Reg08AP@hhs.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

Health & Human Services Commission - 529

Lindsey De-La-Rosa lindsey.delarosa@hhs.texas.gov (888) 479-7602

Purchase Order PO No. 26281205

Order Date: 6/22/2026

Internal Tracking No.: 0000407313

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 34564 FND32000455

00EA

Fendall Eyesaline Eyewash Saline Solution Bottle Refill, 32 Oz Bottle Contract: TXMAS-25-61501 Contract Type: TXMAS Delivery ARO (days): 5 Delivery Date: 6/29/2026

MPN: FND3200045500EA

Manufacturer Name: HONEYWELL

ENVIRONMENTAL

5 EACH 21.34 $106.70

Total $106.70

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