26004312-0.pdf

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Attached to
Term TX|615-S1|17419760511|26004312
Contract number
26004312
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26004312) issued by the Texas Health & Human Services Commission on September 30, 2025, for the Rusk State Hospital. The purchasing agency is working with WorkQuest, Inc., a contractor based in Austin, TX, with the order to be shipped to two specific Texas state hospital warehouse locations in Terrell and Rusk, TX.

The purchase order covers two specific office supply items: 6 desktop staplers (Bazic OFA-3000 model) at $7.64 each, totaling $45.84, and 6 flip-up calculators (Skilcraft OF12500 model) at $8.75 each, totaling $52.50. The total order value is $98.34. The order is placed under term contracts 605-S1 and 615-S1, with a 14-day delivery timeline and a required delivery date of October 14, 2025. The purchase is tax-exempt under Texas Tax Code, Section 151.309(4), and is being secured for the exclusive use of the State of Texas.

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Text version

Purchase Order PO No. 26004312

Order Date: 9/30/2025

Internal Tracking No.: 0000386626

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

ATTN Walley Wittenburg,Teresa

(903) 683-7278 Rusk SH Whse 805 N Dickinson Dr Rusk TX 75785 Rusk State Hospital 805 N. Dickson Rusk, TX 75785

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000386626 AND ATTN CONTACT INFO *** SHIP TO ATTN Walley Wittenburg,Teresa 903-683-7278 teresa.wittenburg@dshs.texas.gov Lead Contact SCOR: Jerry McClure 903-683-7621 jerry.mcclure@hhs.texas.gov ***SEND INVOICES VIA EMAIL TO HHSCTSHAccounting@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

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564

Purchase Order PO No. 26004312

Order Date: 9/30/2025

Internal Tracking No.: 0000386626

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 60588 60588400200 Stapler, Desktop; Freight Is Added To Orders Less Than $25 Contract: 605-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/14/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

S H I P T O AT T N W a l l e y Wittenburg,Teresa 903-683-7278 teresa.wittenburg@dshs.texas.gov Lead Contact SCOR: Jerry McClure 9 0 3 - 6 8 3 - 7 6 2 1 jerry.mcclure@hhs.texas.gov Rusk State Hospital 805 N. Dickson Rusk, TX 75785

***REQUISITION 0000314223

PEAR***

MPN: OFA-3000

Manufacturer Name: Bazic

6 EACH 7.64 $45.84

2 60017 60017901001 Calculator, Flip Up;Freight is added to orders less than$25.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/14/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

S H I P T O AT T N W a l l e y Wittenburg,Teresa 903-683-7278 teresa.wittenburg@dshs.texas.gov Lead Contact SCOR: Jerry McClure 9 0 3 - 6 8 3 - 7 6 2 1 jerry.mcclure@hhs.texas.gov Rusk State Hospital 805 N. Dickson Rusk, TX 75785

***REQUISITION 0000315983

SOAR***

MPN: OF12500

Manufacturer Name: Skilcraft

6 EACH 8.75 $52.50

Total $98.34

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