26004427-0.pdf
PDF 14 KB Posted
- Attached to
- Term TX|620-S1|17419760511|26004427
- Contract number
- 26004427
- Issued by
- Texas
About this file
This document is a Purchase Order (PO No. 26004427) issued by the Texas Department of State Health Services (DSHS) on 10/1/2025, involving WorkQuest, Inc. as the contractor. The purchase order is for the State of Texas, with the contractor located in Austin, TX and the shipping and billing addresses also within Austin. The agency contact is Samantha Butler, and the purchaser is Jeffrey Reyes from the department.
The purchase order is for 30 dozen ballpoint pens with medium point, clear barrel, and a stick design with cap, specifically in black color. The pens are sourced under Contract 620-S1, which is a term contract, with a unit price of $2.16 per dozen, totaling $64.80. The delivery is set for 10/15/2025 with a 14-day ARO (after receipt of order) timeline. The purchase is tax-exempt under Texas Tax Code, Section 151.309(4), as the items are being secured for the exclusive use of the State of Texas.
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Text version
Purchase Order PO No. 26004427
Order Date: 10/1/2025
Internal Tracking No.: 0000385845
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
Samantha Butler 1111 W North Loop Austin TX 78756
NOTE TO CONTRACTOR: AGENCY CONTACT
Samantha Butler samantha.butler@dshs.texas.gov 512-776-9527
AP Email: invoices@dshs.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 -
Jeffrey Reyes jeffrey.reyes@hhs.texas.gov (512) 776-2254
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 62080 62080400104 Pen, Ballpoint, Medium Point, Clear Barrel Stick with Cap Attribute 1: Black-62080400104-1 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/15/2025
30 DOZ 2.16 $64.80
Total $64.80
File details come from the government source that posted it. Updated .