26002317-0.pdf

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Attached to
Term TX|620-S1|17419760511|26002317
Contract number
26002317
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26002317) issued by the Texas Health & Human Services Commission on September 18, 2025, to WorkQuest, Inc., located in Austin, Texas. The order involves multiple state facilities including Brenham SSLC and Richmond SSLC Warehouse, with Diana Dockal as the primary agency contact. The purchase is being made under a statewide procurement contract through the Texas Comptroller of Public Accounts.

The purchase order is for 10 dozen rollerball gel pens with fine black ink, featuring a retractable design and rubber grip for general use. The total order value is $93.00, with a unit price of $9.30 per dozen. The pens are being purchased under Contract 620-S1, which is a term contract. The delivery is scheduled for October 2, 2025, with a 14-day delivery after receipt (ARO) timeline. The order includes a freight charge for orders less than $25, and the State of Texas claims tax exemption under Texas Tax Code, Section 151.309(4).

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Text version

Purchase Order PO No. 26002317

Order Date: 9/18/2025

Internal Tracking No.: 0000385617

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

Brenham SSLC 4001 Highway 36 South Brenham TX 77833

Diana Dockal

(281) 344-4277 Richmond SSLC Whse 2100 Preston Richmond TX 77469

NOTE TO CONTRACTOR: PO#: 0000385617

AGENCY CONTACT:

DIANA DOCKAL

281-344-4277

DIANA.DOCKAL@HHS.TEXAS.GOV

AP EMAIL: 712ACCOUNTING@HHS.TEXAS.GOV

Ship to Attn: DIANA DOCKAL 2100 Preston Richmond TX, 77469

ADMINISTRATION BLDG, 501/RM 108

Invoice per 34 TAC §20.487, amended effective May 1, 2022

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

Marissa Olvera marissa.olvera1@hhs.texas.gov (512) 111-1111

Purchase Order PO No. 26002317

Order Date: 9/18/2025

Internal Tracking No.: 0000385617

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62080 62080220106 Pen, Rollerball, Gel Ink, Retractable, Rubber Grip, General Use, Plus Freight Order Less Than $25 Attribute 1: Fine Black- 62080220122 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/2/2025

10 DOZ 9.30 $93.00

Total $93.00

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