26005395-0.pdf

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Attached to
Term TX|620-S1|17419760511|26005395
Contract number
26005395
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 26005395) issued by the Texas Health & Human Services Commission (HHSC) on 10/7/2025, with an internal tracking number of 387239. The contractor is WorkQuest, Inc., located in Austin, TX, and the order will be shipped to Janet McCaulie in Arlington, TX. The purchase is being made through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Becky Burgess serving as the agency buyer.

The purchase order is for 200 dozen black ballpoint pens (Z Grip Max, Medium Point, 4.5") at a unit price of $10.60 per dozen, totaling $2,120.00. The order is associated with Contract 620-S1, which is a term contract, and requires delivery within 14 days after receipt of order (ARO) by 10/21/2025. The State of Texas is exempt from federal excise taxes, and the purchase is secured under a state sales tax exemption certificate per Texas Tax Code, Section 151.309(4), for exclusive use by a Texas state agency.

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Text version

Purchase Order PO No. 26005395

Order Date: 10/7/2025

Internal Tracking No.: 387239

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

801 S State Hwy 161 PO Box 532089 Grand Prairie TX 75051

Janet McCaulie

(469) 755-3405 2220 Forum Drive Arlington TX 76010

NOTE TO CONTRACTOR: PO#: 387239

AGENCY CONTACT:

Janet McCaulie (469) 755-3405 janet.mccaulie@hhs.texas.gov AP Email: Reg03_AP@hhsc.state.tx.us

HHSC BUYER:

Becky Burgess (512) 406-2619 becky.burgess@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

Health & Human Services Commission - 529

Becky Burgess Becky.Burgess@hhs.texas.gov (512) 406-2619

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62080 62080151541 Pen Ballpoint, Medium Point, 4.5", Z Grip Max, Plus Freight Order Less Than $25 Attribute 1: Black- 62080151020 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/21/2025

200 DOZ 10.60 $2,120.00

Total $2,120.00

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