25212440-0.pdf

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Attached to
Term TX|640-S1|17419760511|25212440
Contract number
25212440
Issued by
Texas

About this file

This is a Purchase Order (PO No. 25212440) issued by the Texas Health and Human Services Commission (HHSC) on 7/30/2025, with an internal tracking number of HHSTX-5-0000381061. The purchase order is for the Mexia State Supported Living Center (SSLC) and is being fulfilled by WorkQuest, Inc., a contractor located in Austin, Texas.

The purchase order comprises 11 line items totaling $21,020.96, including medical and office supplies such as scissors, steno notebooks, binders, self-stick flags, total wipes, ballpoint pens, nitrile examination gloves, and white multifold towels. Each item is associated with a specific contract (e.g., 605-S1, 785-S1), has a term contract type, and includes specified delivery dates ranging from 7 to 20 days after receipt (ARO). The items are sourced from various manufacturers like Bazic, 3M, WTLB, and Horizon Industries, with unit prices ranging from $1.76 to $120.40. The order is tax-exempt under the Texas Tax Code, Section 151.309(4), as it is for the exclusive use of the State of Texas.

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Text version

Purchase Order PO No. 25212440

Order Date: 7/30/2025

Internal Tracking No.: HHSTX-5-0000381061

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

424 Mesquite Dr Mexia SSLC Mexia TX 76667

HHSC -MEXIA SSLC WHSE

424 Mesquite Dr

MEXIA TX 76667

NOTE TO CONTRACTOR: PO#: HHSTX-5-0000381061

AGENCY CONTACT:

Mexia SSLC Ricky Salazar, Whse Supvr.

254-562-1372 ricky.salazar@hhs.texas.gov

INVOICING:

718Accounting@hhs.texas.gov

HHSC BUYER:

Joseph Torres, CTCD, CTCM 512-406-2413 Joseph.Torres@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

Health & Human Services Commission - 529

Joseph Torres joseph.torres@hhs.texas.gov (512) 771-7042

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 60569 60569453081 Scissor, Bent, 8" Length, Plus Freight Order Less Than $25 Contract: 605-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 8/13/2025

36 EACH 4.83 $173.88

Order Date: 7/30/2025

Internal Tracking No.: HHSTX-5-0000381061

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 78573 78573755714 Steno Notebook, Gregg Ruled 6 X 9;Freight Is Added To Orders Less Than $25 Contract: 785-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 8/13/2025

MPN: 00577

Manufacturer Name: Bazic

60 EACH 1.76 $105.60

3 61573 61573161108 Binder, 1" Capacity, 3 Ring, Vinyl View, Inside Front/Back Pockets, Plus Freight Order Less Than $25 Attribute 1: White-61573161108-1 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 8/19/2025

144 EACH 3.83 $551.52

4 61573 61573161108 Binder, 1" Capacity, 3 Ring, Vinyl View, Inside Front/Back Pockets, Plus Freight Order Less Than $25 Attribute 1: Royal Blue-61573161108-5 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 8/19/2025

72 EACH 3.83 $275.76

5 61593 61593421500 Self Stick Flags, .5" X 1.7", Multi Color, 1 Color Per Dispenser,35 Flags/Dispenser, 4 Dispensers/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 8/13/2025

MPN: OFA1402

Manufacturer Name: 3M

20 PACK 3.63 $72.60

6 64066 64066854007 Wipes, Total , 4-Ply Rayon Reinforced, 13.25" X 16.5", 400/Box Contract: 640-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 8/6/2025

56 BOX 38.65 $2,164.40

Order Date: 7/30/2025

Internal Tracking No.: HHSTX-5-0000381061

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

7 62080 62080951007 Pen, Ballpoint, Mini, Flexible, With Cap/Boot, 100/Ctn, Plus Freight Order Less Than $25 Attribute 1: Blue Ink 62080951007-2 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 8/13/2025

30 CRTN 32.40 $972.00

8 62080 62080951007 Pen, Ballpoint, Mini, Flexible, With Cap/Boot, 100/Ctn, Plus Freight Order Less Than $25 Attribute 1: Black Ink 62080951007-1 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 8/13/2025

30 CRTN 32.40 $972.00

9 47541 47541481059 Glove, Nitrile Examination, Powder/Latex Free, 9"L, Blue; Case Qty. ; 100 Gloves/Box; 10 Boxes/Case. Freight Included Attribute 1: Large Contract: 475-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 8/6/2025

MPN: 807

Manufacturer Name: WTLB

60 CASE 120.40 $7,224.00

10 47541 47541481059 Glove, Nitrile Examination, Powder/Latex Free, 9"L, Blue; Case Qty. ; 100 Gloves/Box; 10 Boxes/Case. Freight Included Attribute 1: XL Contract: 475-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 8/6/2025

MPN: 807

Manufacturer Name: WTLB

60 CASE 120.40 $7,224.00

11 64085 64085331103 White Multifold Towels; Case Qty.;

Freight Included Contract: 640-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 8/6/2025

MPN: 64085331103

Manufacturer Name: Hor izon Industries

35 CASE 36.72 $1,285.20

Order Date: 7/30/2025

Internal Tracking No.: HHSTX-5-0000381061

Total $21,020.96

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