27005347-0.pdf

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Attached to
TX|TXMAS-24-61501|27005347
Contract number
27005347
Issued by
Texas

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Document Summary

This is a Purchase Order (PO No. 27005347) issued by the Texas Health & Human Services Commission (HHSC), Agency 529, on October 5, 2026. The order is placed with Mono Machines LLC dba Supply Chimp, located at 228 Park Ave S, New York, NY 10003. The purchasing agent is Lindsey De La Rosa, and the agency contact for shipment is Pamella Mumphrey. Products will be delivered to two locations: Terrell SH Whse in Terrell, Texas, and Rusk SH Whse in Rusk, Texas.

The purchase order covers three Formax FD 8502AF Onsite Autofeed Office Shredders with cross-cut capability, priced at $3,316.58 per unit for a total extended price of $9,949.74. The items are drop-shipped with optional installation available and are sourced under Contract TXMAS-24-61501 (TXMAS contract type). The delivery date is specified as October 20, 2026, with an estimated delivery window of 15 days from order date. The State of Texas is exempt from federal excise taxes and sales taxes under Texas Tax Code Section 151.309(4). Invoicing must comply with 34 TAC §20.487, amended effective May 1, 2022.

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Text version

Purchase Order PO No. 27005347

Order Date: 10/5/2026

Internal Tracking No.: 0000415228

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

(800) 592-1306

Terrell SH Whse 1200 E Brin

TERRELL TX 75160

Pamella Mumphrey

(903) 683-7728 Rusk SH Whse 805 N Dickinson Dr Rusk, TX 75785

NOTE TO CONTRACTOR: PO#: 0000415228

AGENCY CONTACT/SHIP:

Pamella Mumphrey pamella.mumphrey@hhs.texas.gov 903-683-7728

HHSC BUYER:

Lindsey De La Rosa lindsey.delarosa@hhs.texas.gov

AP Email: dshs.tshbusinessoffice@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

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 Price

1 60082 2349509 Formax Fd 8502Af Onsite Autofeed Office Shredder, Cross-Cut (Drop Shipped, Optional Installation) Contract: TXMAS-24-61501 Contract Type: TXMAS Delivery ARO (days): 15 Delivery Date: 10/20/2026

MPN: FD8502AF

Manufacturer Name: Formax

3 EACH 3316.58 $9,949.74

Purchase Order PO No. 27005347

Order Date: 10/5/2026

Internal Tracking No.: 0000415228

Total $9,949.74

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