26287096-0.pdf
PDF 15 KB Posted
- Attached to
- TX|TXMAS-24-61501|26287096
- Contract number
- 26287096
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26287096) issued by the State of Texas Department of State Health Services (DSHS) on June 25, 2026, to Mono Machines LLC dba Supply Chimp for office supply items. The order is being directed to the DSHS facility located at 7430 Louis Pasteur Drive in San Antonio, Texas. The ordering and billing functions are managed through the State of Texas Comptroller of Public Accounts – Statewide Procurement Division, with Carlos Mojica serving as the HHSC buyer and Yesenia Wolfrum as the agency contact.
The purchase order covers two items from Pentel, both sourced through contract TXMAS-24-61501: 2 boxes of Energel Needle Tip Liquid Gel Ink Pens (Blue, 12-pack) at $18.91 per box totaling $37.82, and 12 individual Energel Rtx Roller Ball Retractable Gel Pens in Violet Ink at $2.93 each totaling $35.16. The total order value is $72.98. Both items have an anticipated delivery window of 4 days, with a scheduled delivery date of June 29, 2026. The State of Texas is claiming exemption from all 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. 26287096
Order Date: 6/25/2026
Internal Tracking No.: HHSTX-6-0000407506
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-6-0000407506
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. 26287096
Order Date: 6/25/2026
Internal Tracking No.: HHSTX-6-0000407506
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 62080 222745 Energel Needle Tip Liquid Gel Ink Pens - Refillable - Blue Liquid Gel Ink Ink - 12 / Box.
Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 6/29/2026
MPN: BLN75CBX
Manufacturer Name: Pentel
2 BOX 18.91 $37.82
2 62080 33305 Energel Rtx Roller Ball Retractable Gel Pen, Violet Ink, Medium Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: 6/29/2026
MPN: PENBL77V
Manufacturer Name: Pentel
12 EACH 2.93 $35.16
Total $72.98
File details come from the government source that posted it. Updated .