25211919-0.pdf
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- Attached to
- Term TX|615-S1|17419760511|25211919
- Contract number
- 25211919
- Issued by
- Texas
About this file
This document is a Purchase Order (PO No. 25211919) issued by the Texas Department of State Health Services (DSHS) on July 28, 2025, with WorkQuest, Inc. as the contractor. The purchase order is associated with the Texas Comptroller of Public Accounts' Statewide Procurement Division and involves office supply procurement. The primary point of contact is Saleha Mehr from DSHS, with the agency purchaser being Nicole Smith.
The purchase order covers four line items of office supplies, including ballpoint pens in black and blue (15 dozen each at $2.16 per dozen) and two types of self-stick note pads from 3M - a 3" x 5" neon pad and a 4" x 6" yellow lined pad (9 packs each at $12.03 and $12.60 respectively). The total order value is $286.47, with a delivery date of August 11, 2025, and a 14-day after receipt (ARO) delivery timeline. The items are purchased under term contracts (620-S1 for pens and 615-S1 for note pads), and the state claims tax exemption under Texas Tax Code Section 151.309(4) for these purchases.
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Text version
Purchase Order PO No. 25211919
Order Date: 7/28/2025
Internal Tracking No.: 0000380390
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
Saleha Mehr 1111 W North Loop Austin TX 78756
NOTE TO CONTRACTOR: PO#: CAPPS FIN PO# 0000380390
AGENCY CONTACT:
Saleha Mehr saleha.mehr@dshs.texas.gov
AP Email: invoices@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 -
Nicole Smith Nicole.Smith1@hhs.texas.gov (512) 776-2039
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 62080 62080400104 Pen, Ballpoint, Medium Point, Clear Barrel Stick with Cap Attribute 1: Black-62080400104-1 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 8/11/2025
15 DOZ 2.16 $32.40
Purchase Order PO No. 25211919
Order Date: 7/28/2025
Internal Tracking No.: 0000380390
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
2 62080 62080400104 Pen, Ballpoint, Medium Point, Clear Barrel Stick with Cap Attribute 1: Blue-62080400203-1 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 8/11/2025
15 DOZ 2.16 $32.40
3 61562 61562384301 Self Stick Note Pad, 3" X 5", Neon, 100 Sheets/Pad, 6 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 8/11/2025
MPN: MMM6555
Manufacturer Name: 3M
9 PACK 12.03 $108.27
4 61562 61562385602 Self Stick Note Pad, 4" X 6", Yellow, Lined,100 Sheets/Pad, 6 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 8/11/2025
MPN: MMM6605SSCY
Manufacturer Name: 3M
9 PACK 12.60 $113.40
Total $286.47
File details come from the government source that posted it. Updated .