26286968-0.pdf

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Attached to
TX|TXMAS-24-61501|26286968
Contract number
26286968
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 26286968) issued by the State of Texas Department of State Health Services (DSHS), Agency 537, for office supplies to be delivered to the DSHS facility at 7430 Louis Pasteur Drive in San Antonio, Texas. The ordering agency procured these items from Mono Machines LLC dba Supply Chimp, a vendor located in New York, with the order date of June 24, 2026. The HHSC Buyer is Carlos M Mojica, and the agency contact is Yesenia Wolfrum. The purchase order is tracked under internal number HHSTX-6-0000407560.

The order comprises three line items of office supplies totaling $115.10: 2 packages of Post-It Pads in Miami Colors (4 X 6 inches) at $10.57 per package ($21.14 total); 6 individual Business Notebooks, Legal Rule, 6 X 9-1/2 inches with 80 sheets per pad at $7.61 each ($45.66 total); and 3 packages of Pop-Up Refills, 3 X 3 inches in five neon colors, with 12 100-sheet pads per package at $16.10 per package ($48.30 total). All items are sourced under Contract TXMAS-24-61501 with a delivery ARO (After Receipt of Order) of 4 days and a scheduled delivery date of June 29, 2026. The products are from manufacturers 3M and Mead Cambridge. The order is exempt from state and city sales taxes as a purchase for the exclusive use of the State of Texas.

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Text version

Purchase Order PO No. 26286968

Order Date: 6/24/2026

Internal Tracking No.: HHSTX-6-0000407560

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

Yesenia Wolfrum

(210) 949-2008

DSHS-7430 LOUIS PASTEUR

SAN ANTONIO, TX 78229

NOTE TO CONTRACTOR: PO#: HHSTX-6-0000407560

AGENCY CONTACT:

Yesenia Wolfrum yesenia.wolfrum@dshs.texas.gov 210/949-2008

HHSC BUYER:

Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov

DELIVERY:

7430 Louis Pasteur Dr San Antonio TX 78229

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. 26286968

Order Date: 6/24/2026

Internal Tracking No.: HHSTX-6-0000407560

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61562 111626 Post-It Pads In Miami Colors - 4 X 6 Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 6/29/2026

MPN: MMM6603SSMIA

Manufacturer Name: 3M

2 PKG 10.57 $21.14

2 78573 29672 Business Notebook, Legal Rule, 6 X 9-1/2, 80 Sheets/Pad Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 6/29/2026

MPN: MEA06672

Manufacturer Name: Mead Cambridge

6 EACH 7.61 $45.66

3 61562 31249 Pop-Up Refills, 3 X 3, Five Neon Colors, 12, 100-Sheets, Pads/Pack Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 6/29/2026

MPN: MMMR33012AN

Manufacturer Name: 3M

3 PKG 16.10 $48.30

Total $115.10

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