26005933-0.pdf

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Attached to
Term TX|615-S1|17419760511|26005933
Contract number
26005933
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26005933) issued by the Department of State Health Services (DSHS), an agency of the State of Texas, dated 10/10/2025. The contractor is WorkQuest, Inc., located in Austin, TX, and the purchase is being processed through the Texas Comptroller of Public Accounts - Statewide Procurement Division. The agency purchaser is Debra Burns, who can be contacted at Debra.Burns@hhs.texas.gov or (512) 406-2564.

The purchase order is for 30 white, 1-inch capacity, 3-ring vinyl view binders with inside front/back pockets, priced at $3.83 each, for a total extended price of $114.90. The order is made under Contract 615-S1, which is a term contract, with a delivery timeframe of 20 days after receipt of order (ARO), specifically by 10/30/2025. The items will be shipped to Elaine Byrd at the Moreton Building, 7th Floor, Suite 765 in Austin, TX. The state claims exemption from federal excise taxes, and the purchase is secured for the exclusive use of the State of Texas under Texas Tax Code, Section 151.309(4).

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Text version

Purchase Order PO No. 26005933

Order Date: 10/10/2025

Internal Tracking No.: 0000387473

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 Byrd,Elaine

(512) 776-6483 1111 W North Loop Austin TX 78756 Deliver to: Elaine Byrd, Moreton Bldg. 7th Floor, Ste. 765

NOTE TO CONTRACTOR: **PACKING LIST REQUIRED TO SHOW PO NUMBER 0000387473 AND ATTN CONTACT INFO *** SHIP TO ATTN Byrd,Elaine 512-776-6483 elaine.byrd@dshs.texas.gov Deliver to: Elaine Byrd, Moreton Bldg. 7th Floor, Ste. 765 **SEND INVICE TO DSHS Invoices <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

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: White-61573161108-1 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 10/30/2025 Notes: **PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Byrd,Ela ine 5 1 2 - 7 7 6 - 6 4 8 3 elaine.byrd@dshs.texas.gov Deliver to: Elaine Byrd, Moreton Bldg.

7th Floor, Ste. 765

30 EACH 3.83 $114.90

Purchase Order PO No. 26005933

Order Date: 10/10/2025

Internal Tracking No.: 0000387473

Total $114.90

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