25214697-0.pdf

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Attached to
Term TX|475-S1|17419760511|25214697
Contract number
25214697
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 25214697) issued by the Texas Health & Human Services Commission (Agency 529) on 8/22/2025, involving WorkQuest, Inc. from Austin, TX as the contractor. The purchase order is for billing purposes and involves multiple Texas warehouse locations, including Terrell SH Whse and NTSH-Wichita Falls Whse, with Desiree Alvarez as the agency purchaser.

The purchase order is for 105 cases of Nitrile Examination Gloves, extra-large size, powder/latex free, with 100 gloves per box and 10 boxes per case. The gloves are sourced under Contract 475-S1, with a unit price of $120.40 per case, totaling $12,642.00. The manufacturer is WTLB, with MPN 807, and the delivery is set for 7 days after receipt of order (ARO), with a specific delivery date of 8/29/2025. The order includes freight and is exempt from certain federal and state taxes under Texas Tax Code Section 151.309(4).

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Text version

Purchase Order PO No. 25214697

Order Date: 8/22/2025

Internal Tracking No.: HHSTX-5-0000381958

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

Terrell SH Whse 1200 E Brin

TERRELL TX 75160

Melinda Sepulveda NTSH-Wichita Falls Whse 6515 Kemp Blvd

WICHITA FALLS TX 76308

**DO NOT SHIP**BILLING PURPOSES

ONLY**

NOTE TO CONTRACTOR: " FOR BILLING PURPOSES ONLY, DO NOT SHIP" and put this to the Attn: of Melinda Sepulveda

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

Desiree Alvarez Desiree.Alvarez@hhs.texas.gov (512) 111-1111

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 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: 8/29/2025

MPN: 807

Manufacturer Name: WTLB

105 CASE 120.40 $12,642.00

Total $12,642.00

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