27004947-0.pdf

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Attached to
TX|TXMAS-24-61501|27004947
Contract number
27004947
Issued by
Texas

About this file

This is a Purchase Order (PO No. 27004947) issued by the State of Texas, Department of State Health Services (DSHS), Agency Code 537, on October 1, 2026. The ordering entity is represented by buyer Carlos M Mojica (CTCD, CTCM) and requester Katharine Hanna. The contractor is Mono Machines LLC, doing business as Supply Chimp, located in New York, NY. The goods are to be delivered to DSHS facilities at 1100 West 49th Street, Austin, TX 78756, specifically to Laboratory L114 on the 2nd Floor.

The purchase order covers two cartons of LYSOL Brand 82159CT Disinfecting Wipes (7x8, white, Lemon & Lime Blossom, 35/Canister, 3/PK, 4 PK/CT) at a unit price of $45.37 per carton, for a total contract value of $90.74. The items are procured under TXMAS Contract TXMAS-24-61501 with a standard delivery window of 7 days from order date (scheduled delivery October 8, 2026). The State of Texas claims exemption from all federal excise taxes and sales taxes under Texas Tax Code Section 151.309(4) for this purchase of tangible personal property for state use. Invoicing shall comply with 34 TAC §20.487, amended effective May 1, 2022.

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Text version

Purchase Order PO No. 27004947

Order Date: 10/1/2026

Internal Tracking No.: HHSTX-7-0000415890

Contractor Info Bill To Ship To Mono Machines LLC dba Supply Chimp 12634995182 228 Park Ave S New York, NY 10003

(800) 592-1306

1100 West 49th Street

MC: 3063

Austin TX 78756

Katharine Hanna

(512) 776-7703

1100 W 49TH ST

Laboratory L114 FLOOR: 2nd

AUSTIN, TX 78756-3101

NOTE TO CONTRACTOR: PO#: HHSTX-7-0000415890

AGENCY CONTACT:

Requester Name: Katharine Hanna Requester E-mail address: Katharine.Hanna@dshs.texas.gov

HHSC BUYER:

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

DELIVERY:

1100 W 49th St (DBGL) PO Box 149347 Austin TX 78756

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. 27004947

Order Date: 10/1/2026

Internal Tracking No.: HHSTX-7-0000415890

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 73520 112656 LYSOL Brand 82159CT Disinfecting Wipes, 7x8, White, Lemon & Lime Blossom, 35/Canister, 3/PK, 4 PK/CT Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 7 Delivery Date: 10/8/2026

MPN: RAC82159CT

Manufacturer Name: Lysol

2 CRTN 45.37 $90.74

Total $90.74

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