23113435-0.pdf
PDF 15 KB Posted
- Attached to
- Term TX|125-S1|17419760511|23113435
- Contract number
- 23113435
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 23113435) issued by the Texas Department of State Health Services (DSHS), specifically from the Health & Human Services Commission, to WorkQuest, Inc., a contractor located in Austin, Texas. The purchase order is dated 3/8/2023 and includes internal tracking number 0000311649. The document involves the Texas Statewide Procurement Division and includes specific contact information for the HHSC Buyer, Debra Burns, and the ship-to contact, Gabriela Soto.
The purchase order is for 2 cases of plastic comb bindings, specifically 3/4" diameter, 10-3/4" long, 19-ring bindings, with a total cost of $49.34 ($24.67 per case). The items are being purchased under Contract 125-S1, which is a term contract. The delivery is set for 4/7/2023, with a 30-day after receipt (ARO) delivery timeline. The order includes a requirement for the vendor to include the PO number and contact information on the packing list. The State of Texas is exempt from federal excise taxes, and the purchase is secured under a state tax exemption certificate for the exclusive use of the State of Texas.
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Text version
Purchase Order PO No. 23113435
Order Date: 3/8/2023
Internal Tracking No.: 0000311649
Contractor Info Bill To Ship To WorkQuest, Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
Department of State Health Services
PO BOX 149347
Fiscal Division/Accounts Payable
AUSTIN TX 78714-9347
HEALTH & HUMAN SERVICES COMMISSION
Dept Of State Health Services - 537 1111 W North Loop Austin TX 78756
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000311649 AND ATTN CONTACT INFO *** SHIP TO ATTN Soto,Gabriela 512-648-7442 gabriela.soto@dshs.texas.gov vendor to send invoices to this email address: Invoices@dshs.state.tx.us DSHS Claims: Invoice approval to pay send to Gabriela.soto@dshs.texas.gov or Sarah.Avila@dshs.texas.gov
HHSC BUYER:
Debra Burns, CTPM Direct: 512) 406-2564 CELL 832-818-3936 Debra.Burns@hhs.texas.gov
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 -
Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564
Purchase Order PO No. 23113435
Order Date: 3/8/2023
Internal Tracking No.: 0000311649
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 12520 12520761946 Binding, Comb, Plastic, Wide, 3/4" Dia. x 10-3/4", 19 Ring, 100/CS;
Freight included.
Attribute 1: Black-12520761953 Contract: 125-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 4/7/2023 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Soto,Gabriela 5 1 2 - 6 4 8 - 7 4 4 2 gabriela.soto@dshs.texas.gov
2 CASE 24.67 $49.34
Total $49.34
File details come from the government source that posted it. Updated .