27005082-0.pdf

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Attached to
TX|TXMAS-24-61501|27005082
Contract number
27005082
Issued by
Texas

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Written by GovTribe AI ·

This is a purchase order issued by the State of Texas, Department of State Health Services (DSHS), Agency 537, on October 2, 2026. The order was placed with Mono Machines LLC dba Supply Chimp, a vendor located in New York, and is being delivered to Timothy Corcoran at the DSHS facility located at 1100 West 49th Street, Laboratory L114, 2nd Floor, in Austin, Texas. The purchase order references the TXMAS-24-61501 contract and is being managed by HHSC Buyer Marissa Olvera. The state claims exemption from all federal excise taxes and state and city sales taxes under Texas Tax Code Section 151.309(4).

The purchase order contains five line items totaling $929.89 with varying delivery dates between October 7 and October 19, 2026. The items include office and laboratory supplies: one dozen Ampad Perforated Ruled Pads in canary yellow ($43.75), one box of Southworth Parchment Specialty Paper in copper ($33.19), twenty-one Fellowes mouse pads with wrist rests ($315.00), four packs of Sharpie Extra Fine Tip Permanent Markers ($66.64), and one Prominence Mahogany Laminate Office Suite ($471.31). All items are being procured under the TXMAS master agreement contract and are subject to standard delivery timeframes ranging from 5 to 15 days from the order date.

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Purchase Order PO No. 27005082

Order Date: 10/2/2026

Internal Tracking No.: 0000415624

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

Tim Corcoran

(512) 776-7581

1100 W 49TH ST

Laboratory L114 FLOOR: 2nd

AUSTIN, TX 78756-3101

NOTE TO CONTRACTOR: PO#: 0000415624

AGENCY CONTACT:

Timothy Corcoran 512-776-7581 Timothy.Corcoran@dshs.texas.gov

Ship To:

Timothy Corcoran 1100 W 49th St PO Box 149347 Austin Tx, 78756

HHSC BUYER:

Marissa Olvera CTCD, CTCM marissa.olvera1@hhs.texas.gov

AP Email: LabAccounting@dshs.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

Dept Of State Health Services -

Marissa Olvera marissa.olvera1@hhs.texas.gov (512) 776-3309

Purchase Order PO No. 27005082

Order Date: 10/2/2026

Internal Tracking No.: 0000415624

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61562 96811 Ampad Perforated Ruled Pads - 50 Sheets - 15 Lb Basis Weight - Letter

8.50 In X 11 In - 12 / Dozen - Canary

Yellow Paper Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 5 Delivery Date: 10/7/2026

MPN: 20224

Manufacturer Name: TOPS Products

1 DOZ 43.75 $43.75

2 57547 39096 Southworth 894C Parchment Specialty Paper, Copper, 24lb, 8 1/2 x 11, 500 Sheets Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 15 Delivery Date: 10/19/2026

MPN: SOU894C

Manufacturer Name: Southworth

1 BOX 33.19 $33.19

3 61562 21546 Fellowes 9176501 Mouse Pad w/Wrist Rest, Nonskid Back, 7 15/16 x 9 1/4, Black Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 6 Delivery Date: 10/8/2026

MPN: FEL9176501

Manufacturer Name: Fellowes

21 EACH 15.00 $315.00

4 62090 325124 Sharpie 2082960 Extra Fine Tip Permanent Marker, B Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 6 Delivery Date: 10/8/2026

MPN: SAN2082960

Manufacturer Name: Sharpie

4 PACK 16.66 $66.64

5 42549 188533 Prominence Mahogany Laminate Office Suite Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 7 Delivery Date: 10/9/2026

MPN: PH6639MY

Manufacturer Name: Lorell

1 EACH 471.31 $471.31

Total $929.89

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