26287221-1.pdf
PDF 15 KB Posted
- Attached to
- TX|TXMAS-24-61501|26287221
- Contract number
- 26287221
- Issued by
- Texas
About this file
This is a Purchase Order Change Notice (PO No. 26287221) issued by the State of Texas, Health & Human Services Commission (Agency 529), for a purchase from Mono Machines LLC dba Supply Chimp, a New York-based contractor. The order was placed on 6/26/2026 and is designated for delivery to the San Antonio SH facility located at 6711 S. New Braunfels, Suite 100, San Antonio, Texas 78223. The revision documented reflects an internal tracking number change from 0000407743 to 0000407757 and a corresponding update to the contractor notes. The HHS purchaser is Lindsey De La Rosa, and the agency contact and shipping attention is Izelda Zarate.
The purchase order covers four units of Dome 880 Dome Notary Public Record Books at a unit price of $11.94 each, totaling $47.76. The items are being procured under Contract TXMAS-24-61501 (TXMAS contract type) with an expected delivery timeframe of four days, with a scheduled delivery date of Tuesday, June 30, 2026. The State of Texas claims a sales tax exemption under Texas Tax Code Section 151.309(4) for this purchase of tangible personal property for exclusive state use.
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Text version
Purchase Order Change Notice PO No. 26287221
Order Date: 6/26/2026
Internal Tracking No.: 0000407757
Contractor Info Bill To Ship To Mono Machines LLC dba Supply Chimp 12634995182 228 Park Ave S New York, NY 10003
(800) 592-1306
San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223
Izelda Zarate
(210) 531-3700 5900 S Presa St San Antonio, TX 78223
NOTE TO CONTRACTOR:
6 / 2 6 / 2 0 2 6 - P O # : 0 0 0 0 4 0 7 7 5 7 A G E N C Y C O N TA C T : / S H I P AT T N I z e l d a Zara te Ize lda .Zara te01@hhs. texas.gov210-531-3700HHS PURCHASER:L indsey De La Rosalindsey.delarosa@hhs.texas.govAP Email: SAHAccounting@hhs.texas.govInvoice per 34 TAC §20.487, amended effective 5-1-22
REVISION HISTORY:
PO Revision #: 1 PO Change Reasons (Aggregated):6/26/2026 9:08 am-Internal tracking number changed from: 0000407743 to: 0000407757
6/26/2026 9:08 am-Contractor note changed PO#: 0000407743
AGENCY CONTACT:/SHIP ATTN
Izelda Zarate
Izelda.Zarate01@hhs.texas.gov
210-531-3700
HHS PURCHASER:
Lindsey De La Rosa lindsey.delarosa@hhs.texas.gov
AP Email: SAHAccounting@hhs.texas.gov
Invoice per 34 TAC §20.487, amended effective 5-1-22 to: PO#: 0000407757 AGENCY CONTACT:/SHIP ATTNIzelda ZarateIzelda.Zarate01@hhs.texas.gov210-531-3700HHS PURCHASER:Lindsey De La Rosalindsey.delarosa@hhs.texas.govAP Email: SAHAccounting@hhs.texas.govInvoice 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/CO-OP Member Purchaser Email Phone
Purchase Order Change Notice PO No. 26287221
Order Date: 6/26/2026
Internal Tracking No.: 0000407757
Health & Human Services Commission - 529
Lindsey De-La-Rosa lindsey.delarosa@hhs.texas.gov (888) 479-7602
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
1 61515 301327 Dome 880 Dome Notary Public Record Book, Ea Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 4 Delivery Date: Tue Jun 30 2026
00:00:00 GMT-0700 (PDT)
MPN: 880
Manufacturer Name: Dome
4 EACH 11.94 $47.76
Total $47.76
File details come from the government source that posted it. Updated .