25193638-0.pdf
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- Attached to
- Term TX|620-S1|17419760511|25193638
- Contract number
- 25193638
- Issued by
- Texas
About this file
This document is a Purchase Order (PO No. 25193638) issued by the Texas Department of State Health Services (DSHS) on 7/23/2025, with WorkQuest, Inc. of Austin, Texas as the contractor. The purchase order is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Santino Campos as the agency purchaser and Samantha Butler as the agency contact.
The purchase order is for 100 dozen ballpoint pens with a medium black point, sourced under Contract 620-S1, a term contract. The total order value is $200.00, with a unit price of $2.00 per dozen. The pens are recycled and include freight for orders less than $25. Delivery is scheduled for 8/6/2025 with a 14-day after receipt of order (ARO) timeline. Delivery is restricted to 8:00-11:30 AM and 1:00-4:30 PM, Monday through Friday, excluding state holidays. The order includes a state and city sales tax exemption under Texas Tax Code, Section 151.309(4), as the purchase is for exclusive state use.
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Text version
Purchase Order PO No. 25193638
Order Date: 7/23/2025
Internal Tracking No.: 0000380086
Contractor Info Bill To Ship To WorkQuest, Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
1100 West 49th Street
MC: 3063
Austin TX 78756
1111 W North Loop Austin TX 78756
NOTE TO CONTRACTOR: PO # 0000380086
Agency Contact:
Samantha, Butler samantha.butler@dshs.texas.gov
AP Email: invoices@dshs.texas.gov
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 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 -
Santino Campos Santino.Campos@hhs.texas.gov (210) 986-4475
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 62080 62080031008 Pen, Ballpoint, Stick with Cap, Recycled, Plus Freight Order Less Than $25 A t t r i b u t e 1 : M e d i u m Black-62080036007 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 8/6/2025
100 DOZ 2.00 $200.00
Total $200.00
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