26006188-0.pdf

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Attached to
Term TX|645-S1|17419760511|26006188
Contract number
26006188
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26006188) issued by the Department of State Health Services (DSHS) in Texas on 10/13/2025, with WorkQuest, Inc. as the contractor. The purchase order involves the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Debra Burns as the agency purchaser. The document is addressed to WorkQuest, Inc. located in Austin, TX, and involves shipping to Denise Bortolussi and delivery to Elaine Byrd at the Moreton Building.

The purchase order is for one carton of Skilcraft Paper, Bond, Virgin, Premium No. 4, 20 Lb., 8-1/2" X 11" (5000 sheets/carton), priced at $71.21. The contract is a term contract under NIGP Code 64521, with a delivery timeframe of 20 days after receipt of order (ARO), and a specific delivery date of 11/3/2025. The order includes specific instructions for the packing list to show the PO number and contact information, and notes price break opportunities at 10, 40, 200, 400, and 800 cartons. The State of Texas claims tax exemption under Texas Tax Code, Section 151.309(4) for this purchase.

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Text version

Purchase Order PO No. 26006188

Order Date: 10/13/2025

Internal Tracking No.: 0000387570

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 Bortolussi,Denise D

(512) 776-6492 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 0000387570 AND ATTN CONTACT INFO *** SHIP TO ATTN Bortolussi,Denise D 512-776-6492 denise.bortolussi@dshs.texas.gov RECPIENT Elaine Byrd 512-284-1638 elaine.byrd@dshs.texas.gov ***send invoice Email: 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. 26006188

Order Date: 10/13/2025

Internal Tracking No.: 0000387570

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 64521 64521350104-

Paper, Bond, Virgin, Premium No. 4, 20 Lb. , 8-1/2" X 11", 5000 Sheets/Crtn, Qty Price Breaks At 10, 40, 200, 400, And 800 Cartons.

Contract: 645-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 11/3/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Bortolussi,Denise D 5 1 2 - 7 7 6 - 6 4 9 2 denise.bortolussi@dshs.texas.gov RECPIENT Elaine Byrd 512-284-1638 elaine.byrd@dshs.texas.gov

WA R E H O U S E D E L I V E RY

INFORMATION

Deliver to: Elaine Byrd, Moreton Bldg.

7th Floor, Ste. 765 Manufacturer Name: Skilcraft

1 CRTN 71.21 $71.21

Total $71.21

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