26003056-0.pdf

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Attached to
Term TX|615-S1|17419760511|26003056
Contract number
26003056
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26003056) issued by the Department of State Health Services (DSHS), a Texas state agency, on 9/23/2025. The purchase order is with WorkQuest, Inc., a contractor located in Austin, TX, and is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division. The agency contact is Virginia Flores, and the HHSC Buyer is Oluwaseyi Omisore.

The purchase order covers office supplies under Contract 615-S1, including 5 black 1" 3-ring vinyl binders ($3.83 each), 6 black 2" 3-ring vinyl binders ($5.35 each), 3 packages of 3" x 3" yellow self-stick note pads ($13.02 per package), and 7 packages of 1.5" x 2" yellow self-stick note pads ($4.80 per package). The total order value is $123.91, with delivery dates ranging from 10/7/2025 to 10/13/2025. The items are from Skilcraft and have a term contract type, with delivery times specified as 14-20 days after receipt of order (ARO). The order includes freight for purchases less than $25 and is tax-exempt under Texas Tax Code, Section 151.309(4).

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Text version

Purchase Order PO No. 26003056

Order Date: 9/23/2025

Internal Tracking No.: 0000385946

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

Virginia Flores

(512) 776-7587 1100 W 49th St Laboratory L114 FLOOR: 6th, RM L641 Austin TX 78756

NOTE TO CONTRACTOR: CAPPS FIN PO#:0000385946

AGENCY CONTACT:

Virginia Flores 512-776-7587 Virginia.Flores@dshs.texas.gov

AP Email: invoices@dshs.texas.gov

HHSC BUYER:

Oluwaseyi Omisore, CTCD, CTCM 512-776-4242 Oluwaseyi.Omisore@hhs.texas.gov

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

Dept Of State Health Services -

Oluwaseyi Omisore Oluwaseyi.Omisore@hhs.texas.gov (512) 706-4242

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61573 61573161108 Binder, 1" Capacity, 3 Ring, Vinyl View, Inside Front/Back Pockets, Plus Freight Order Less Than $25 Attribute 1: Black-61573161108-2 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 10/13/2025

5 EACH 3.83 $19.15

Purchase Order PO No. 26003056

Order Date: 9/23/2025

Internal Tracking No.: 0000385946

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 61573 61573163104 Binder, 2" Capacity, 3 Ring, Vinyl View, Inside Front/Back Pockets, Plus Freight Order Less Than $25 Attribute 1: Black-61573163104-2 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 10/13/2025

6 EACH 5.35 $32.10

3 61562 61562384000 Self Stick Note Pad, 3" X 3", Yellow, 100 Sheets/Pad, 12 Pads/Pkg, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/7/2025

MPN: 61562384000

Manufacturer Name: Skilcraft

3 PKG 13.02 $39.06

4 61562 61562381501 Note Pad, Self Stick, 1.5" x 2", Yellow, 100 Sheets/Pad, 12 Pads/Pkg, Plus Freight Less Than 12 Pkg Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/7/2025

MPN: 61562381501

Manufacturer Name: Skilcraft

7 PKG 4.80 $33.60

Total $123.91

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