26005928-0.pdf
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- Attached to
- Term TX|615-S1|17419760511|26005928
- Contract number
- 26005928
- Issued by
- Texas
About this file
This document is a Purchase Order (PO No. 26005928) issued by the Texas Department of State Health Services on 10/10/2025, with WorkQuest, Inc. from Austin, TX as the contractor. The purchase order is directed to the department's location at 3407 Pony Express Way in Amarillo, TX, with specific delivery instructions to the South Entrance (Overhead Door) and invoicing to be sent to invoices@dshs.texas.gov.
The purchase order is for one monthly appointment planner manufactured by House of Doolittle, with the specific item being a wire-bound, black, 8-7/8 x 11-1/4 inch planner made from 100% post-consumer recycled materials. The total cost is $15.76, with a unit price of $15.76, under Contract 615-S1 which is a term contract. The delivery is set for 10/24/2025 with a 14-day after receipt (ARO) timeline. The purchase is tax-exempt under Texas Tax Code, Section 151.309(4), and the order includes specific requirements for the contractor to include the PO number and contact information on the packing list.
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Text version
Purchase Order PO No. 26005928
Order Date: 10/10/2025
Internal Tracking No.: 0000387464
Contractor Info Bill To Ship To WorkQuest, Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
PO BOX 149347
Fiscal Division/Accounts Payable
AUSTIN TX 78714-9347
ATTN Whitfield,Queta Shenell
(806) 783-6413 Department of State Health Services 3407 Pony Express Way Amarillo TX 79118 Deliver to South Entrance (Overhead Door) Ship to: 3407 Pony Express Way Amarillo, TX 79118
NOTE TO CONTRACTOR: **PACKING LIST REQUIRED TO SHOW PO NUMBER 0000387464 AND ATTN CONTACT INFO *** SHIP TO ATTN Whitfield,Queta Shenell 806-783-6413 queta.whitfield@dshs.texas.gov Purchase Contact Marisol Tijerina Marisol 806-477-1100 .tijerina@dshs.texas.gov Deliver to South Entrance (Overhead Door) **send invoice to invoices@dshs.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
Dept Of State Health Services -
Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564
Purchase Order PO No. 26005928
Order Date: 10/10/2025
Internal Tracking No.: 0000387464
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 61515 61515074505 Appointment Planner, Monthly, Black, Wire Bound, 8-7/8 X 11-1/4, Black, 100% Post-Consumer Recycled, Freight included Attribute 1: 2026 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/24/2025 Notes: **PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Whitfield,Queta S h e n e l l 8 0 6 - 7 8 3 - 6 4 1 3 queta.whitfield@dshs.texas.gov Purchase Contact Marisol Tijerina M a r i s o l 8 0 6 - 4 7 7 - 1 1 0 0 .tijerina@dshs.texas.gov Deliver to South Entrance (Overhead Door) Ship to: 3407 Pony Express Way Amarillo, TX 79118
MPN: HOD27202
Manufacturer Name: House of Doolittle
1 EACH 15.76 $15.76
Total $15.76
File details come from the government source that posted it. Updated .