26005964-0.pdf

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Attached to
Term TX|615-S1|17419760511|26005964
Contract number
26005964
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26005964) issued by the Department of State Health Services, an agency of the State of Texas, to WorkQuest, Inc., a contractor located in Austin, TX. The purchase order is dated 10/10/2025 and will be delivered to the Department of State Health Services at 3407 Pony Express Way in Amarillo, TX, with specific delivery instructions to use the South Entrance (Overhead Door).

The purchase order covers two office supply items from the House of Doolittle under Contract 615-S1: 3 monthly appointment planners (MPN: HOD27202) at $15.76 each, totaling $47.28, and 2 desk pad calendars (MPN: HOD124) at $8.49 each, totaling $16.98. The total order value is $64.26. The items are for the 2026 calendar year, with a 14-day delivery timeline and delivery date of 10/24/2025. The order includes freight and requires a packing list showing the PO number and contact information. The State of Texas claims exemption from federal excise taxes, and the purchase is made under a term contract with specific delivery and invoicing instructions.

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Text version

Purchase Order PO No. 26005964

Order Date: 10/10/2025

Internal Tracking No.: 0000387485

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

TTN Reyna,Dora T

(806) 477-1108 Department of State Health Services 3407 Pony Express Way Amarillo TX 79118 Deliver to South Entrance (Overhead Door)

NOTE TO CONTRACTOR: **PACKING LIST REQUIRED TO SHOW PO NUMBER 0000387485 AND ATTN CONTACT INFO *** SHIP TO ATTN Reyna,Dora T 806-477-1108 dora.reyna@dshs.texas.gov Purchase Contact Marisol Tijerina 806-477-1100 marisol.tijerina@dshs.texas.gov Deliver to South Entrance (Overhead Door) ***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

Purchase Order PO No. 26005964

Order Date: 10/10/2025

Internal Tracking No.: 0000387485

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 Reyna,Dora T 8 0 6 - 4 7 7 - 1 1 0 8 dora.reyna@dshs.texas.gov Purchase Contact Marisol Tijerina 8 0 6 - 4 7 7 - 1 1 0 0 marisol.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

3 EACH 15.76 $47.28

2 61519 61519130779 Calendar, Desk Pad, 22 X 17, 12 Months,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 Reyna,Dora T 8 0 6 - 4 7 7 - 1 1 0 8 dora.reyna@dshs.texas.gov Purchase Contact Marisol Tijerina 8 0 6 - 4 7 7 - 1 1 0 0 marisol.tijerina@dshs.texas.gov Deliver to South Entrance (Overhead Door) Ship to 3407 Pony Express Way Amarillo, TX 79118

MPN: HOD124

Manufacturer Name: House of Doolittle

2 EACH 8.49 $16.98

Total $64.26

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