26005945-0.pdf

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Attached to
Term TX|615-S1|17419760511|26005945
Contract number
26005945
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26005945) issued by the Texas Department of State Health Services (DSHS) on 10/10/2025, with an internal tracking number of 0000387480. The purchase order is directed to WorkQuest, Inc., located in Austin, Texas, and will be shipped to Leslie Stark at the DSHS Tower, 6th floor, Suite T-605. The order is processed under the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Debra Burns as the agency purchaser.

The purchase order consists of nine line items of office supplies, including Rayovac batteries, mechanical pencils, legal pads (yellow and white), junior-sized pads, expanding files, highlighter pens, and Zebra gel ink pens in black and blue. The total order value is $768.53, with quantities ranging from 5 to 72 units per item. The supplies are ordered under multiple term contracts (615-S1 and 620-S1), with varying delivery dates between 10/24/2025 and 10/31/2025 and delivery times of 14 to 30 days after receipt of order (ARO). Each item includes specific instructions that the packing list must show the PO number and contact information for Leslie Stark.

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Purchase Order PO No. 26005945

Order Date: 10/10/2025

Internal Tracking No.: 0000387480

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 Stark,Leslie

(512) 776-2736 1111 W North Loop Austin TX 78756

NOTE TO CONTRACTOR: **PACKING LIST REQUIRED TO SHOW PO NUMBER 0000387480 AND ATTN CONTACT INFO *** SHIP TO ATTN Stark,Leslie 512-776-2736 leslie.stark@dshs.texas.gov Tower, 6th floor, Suite T-605 ***send invoice 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 45006 45006100102 Rayovac High Energy 824-12k 12/pack .32lbs/pack.Plus Freight Order Less Than $25 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 Stark,Lesl ie 5 1 2 - 7 7 6 - 2 7 3 6 leslie.stark@dshs.texas.gov Tower, 6th floor, Suite T-605

MPN: 824-12K

Manufacturer Name: Rayovac

5 PACK 4.75 $23.75

Order Date: 10/10/2025

Internal Tracking No.: 0000387480

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 62060 62060370038 Pencil, Mechanical, 0.7mm, Rubber Grip, Plastic Barrel, Absolute III, 6/Box, Plus Freight Order Less Than $25 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 11/10/2025 Notes: **PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Stark,Lesl ie 5 1 2 - 7 7 6 - 2 7 3 6 leslie.stark@dshs.texas.gov Tower, 6th floor, Suite T-605

6 BOX 11.26 $67.56

3 61562 61562500002 Legal Pad, Yellow, 8-1/2" X 11-3/4", Order In Multiples Of 12. Freight Is Included.

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 Stark,Lesl ie 5 1 2 - 7 7 6 - 2 7 3 6 leslie.stark@dshs.texas.gov Tower, 6th floor, Suite T-605

MPN: 00597

Manufacturer Name: Bazic

72 EACH 2.64 $190.08

4 61562 61562500001 Legal Pad, White, 8-1/2" X 11-3/4".

Order in multiples of 12. Freight is added to orders less than $25.

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 Stark,Lesl ie 5 1 2 - 7 7 6 - 2 7 3 6 leslie.stark@dshs.texas.gov Tower, 6th floor, Suite T-605

MPN: 598

Manufacturer Name: Bazic

72 EACH 2.01 $144.72

Order Date: 10/10/2025

Internal Tracking No.: 0000387480

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

5 61562 61562351001 Legal Ruled, Junior Size 5" X 8" White Micro Perforated Pad. 50 Sheet Pad. Freight Is Added To Orders Less Than $25.

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 Stark,Lesl ie 5 1 2 - 7 7 6 - 2 7 3 6 leslie.stark@dshs.texas.gov Tower, 6th floor, Suite T-605

MPN: OF12332

Manufacturer Name: Bangkit

12 PKG 14.04 $168.48

6 61541 6154115 Expanding File, Letter Size, 1.5" Expansion, Freight included

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 21 Delivery Date: 10/31/2025 Notes: **PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Stark,Lesl ie 5 1 2 - 7 7 6 - 2 7 3 6 leslie.stark@dshs.texas.gov Tower, 6th floor, Suite T-605

24 EACH 1.61 $38.64

7 62090 62090501008 Highlighter Pen, Free Ink, 4 Colors/Box, Plus Freight Order Less Than $25 Contract: 620-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 Stark,Lesl ie 5 1 2 - 7 7 6 - 2 7 3 6 leslie.stark@dshs.texas.gov Tower, 6th floor, Suite T-605

10 Box 5.13 $51.30

Order Date: 10/10/2025

Internal Tracking No.: 0000387480

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

8 62080 62080231100 Pen, Retractable, Gel Ink, Rubber Grip, .7Mm Medium Point, Zebra Sarasa, Plus Freight Order Less Than $25 Attribute 1: BLACK 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 Stark,Lesl ie 5 1 2 - 7 7 6 - 2 7 3 6 leslie.stark@dshs.texas.gov Tower, 6th floor, Suite T-605

MPN: 46810D

Manufacturer Name: Zebra

4 DOZ 10.50 $42.00

9 62080 62080231100 Pen, Retractable, Gel Ink, Rubber Grip, .7Mm Medium Point, Zebra Sarasa, Plus Freight Order Less Than $25 Attribute 1: BLUE 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 Stark,Lesl ie 5 1 2 - 7 7 6 - 2 7 3 6 leslie.stark@dshs.texas.gov Tower, 6th floor, Suite T-605

MPN: 46810D

Manufacturer Name: Zebra

4 DOZ 10.50 $42.00

Total $768.53

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