24209970-0.pdf

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Attached to
Term TX|625-S1|17419760511|24209970
Contract number
24209970
Issued by
Texas

About this file

This is a Purchase Order (PO No. 24209970) issued by the Texas Department of State Health Services (DSHS), a part of the Health & Human Services Commission (HHSC), dated 7/17/2024. The purchase order is with WorkQuest, Inc., located in Austin, Texas, and involves a procurement through the Texas Comptroller of Public Accounts' Statewide Procurement Division. The order is tax-exempt under Texas Tax Code, Section 151.309(4), for exclusive state use.

The purchase order is for a single pair of safety glasses - specifically a Honeywell manufactured Titmus SW06 single vision prescription safety frame in black and yellow, sized 57.16.125. The item is priced at $73.53, with delivery scheduled for 7/25/2024 (8 days after order) to the DSHS Laboratory L114 building on the 6th floor, Room L-655 in Austin, TX. The order is processed under Contract 625-S1, with the agency contact being Tami Kenroy and the HHSC buyer being Lisa Freeman. Delivery is restricted to 8:00-11:30 AM and 1:00-4:30 PM, Monday through Friday, excluding state holidays.

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Text version

Purchase Order PO No. 24209970

Order Date: 7/17/2024

Internal Tracking No.: HHSTX-4-0000351939

Contractor Info Bill To Ship To WorkQuest, Inc.

17419760511 1011 East 53 1/2 Street Austin, TX 78751

(512) 451-8145

Accounts Payable - Joel Rios 1100 West 49th St Austin TX 78756

1100 W 49TH ST

Laboratory L114 FLOOR: 2nd

AUSTIN TX 78756-3101

NOTE TO CONTRACTOR:

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 -

Lisa Freeman Lisa.Freeman@hhs.texas.gov (512) 406-2567

Purchase Order PO No. 24209970

Order Date: 7/17/2024

Internal Tracking No.: HHSTX-4-0000351939

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62526 62526421251 Glasses, Safety, Single Vision Basic Frame, Prescription, Freight Included Attribute 1: 62526421251-4 BLACK and YELLOW Titmus SW06 Size 57.16.125 Contract: 625-S1 Contract Type: Term Delivery ARO (days): 8 Delivery Date: 7/25/2024 Notes: PO#: HHSTX-4-0000351939

AGENCY CONTACT:

Tami Kenroy Tami.Kenroy@dshs.texas.gov

HHSC BUYER:

Lisa Freeman lisa.freeman@hhs.texas.gov

FOR DSHS INTERNAL DELIVERY

INFO:

BUILDING: Laboratory L 114 FLOOR: 6th, RM L-655 CONTACT: Dharmika Lansakara

PHONE#: 512-776-3172

DELIVERY: Delivery hours are from 8:00-11:30 AM and 1:00-4:30 PM Monday - Friday except designated State Holidays Invoice per 34 TAC §20.487, amended effective May 1, 2022

HEALTH & HUMAN SERVICES

COMMISSION

1111 W North Loop Austin TX 78756 United States Manufacturer Name: Honeywell

1 PR 73.53 $73.53

Total $73.53

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