26000334-0.pdf
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- Attached to
- Term TX|785-S1|17419760511|26000334
- Contract number
- 26000334
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26000334) issued by the Texas Department of State Health Services (DSHS), specifically from the agency's Division 537, with Debra Burns as the purchaser. The order is placed with WorkQuest, Inc., a contractor located in Austin, TX, and is addressed to ship to the DSHS warehouse at 5425 Polk St., Suite 420 in Houston, TX. The order is dated 9/5/2025 and has an internal tracking number of 0000384956.
The purchase order is for one dry erase eraser (washable foam), priced at $2.10, with a delivery date of 9/19/2025 and a 14-day delivery after receipt (ARO) timeline. The order is made under Contract 785-S1, which is a term contract. The document includes a tax exemption disclaimer noting the State of Texas is exempt from federal excise taxes, and the purchase is secured for the exclusive use of the state under Texas Tax Code, Section 151.309(4). The total order amount is $2.10, and the contractor is required to include the PO number and contact information on the packing list.
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Text version
Purchase Order PO No. 26000334
Order Date: 9/5/2025
Internal Tracking No.: 0000384956
Contractor Info Bill To Ship To WorkQuest, Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
PO BOX 149347
Fiscal Division/Accounts Payable
AUSTIN TX 78714-9347
ATTN Moreno Turrubiartes,Beatriz
(713) 767-3022
DSHS-5425 POLK ST
HOUSTON TX 77023-1444
DSHS 5425 Polk St., Suite 420 Houston, TX 77023
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000384956 AND ATTN CONTACT INFO *** SHIP TO ATTN Moreno Turrubiartes,Beatriz 713-767-3022 Beatriz.Moreno@dshs.texas.gov
WAREHOUSE DELIVERY INFORMATION
DSHS 5425 Polk St., Suite 420 Houston, TX 77023
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 -
Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 78557 78557270853 Eraser, Dry Erase, Washable Foam, Plus Freight Order Less Than $25 Contract: 785-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 9/19/2025 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
S H I P T O AT T N M o r e n o Turrubiartes,Beatriz 713-767-3022 Beatriz.Moreno@dshs.texas.gov
WA R E H O U S E D E L I V E RY
INFORMATION
DSHS 5425 Polk St., Suite 420 Houston, TX 77023
1 EACH 2.10 $2.10
Purchase Order PO No. 26000334
Order Date: 9/5/2025
Internal Tracking No.: 0000384956
Total $2.10
File details come from the government source that posted it. Updated .