26006399-0.pdf
PDF 14 KB Posted
- Attached to
- Term TX|615-S1|17419760511|26006399
- Contract number
- 26006399
- Issued by
- Texas
About this file
This document is a Purchase Order (PO No. 26006399) issued by the Texas Department of State Health Services (DSHS) on 10/14/2025, with WorkQuest, Inc. serving as the contractor. The purchase order involves a transaction between the State of Texas and WorkQuest, Inc., located in Austin, TX, with Samantha Butler as the agency contact and Jeffrey Reyes as the agency purchaser.
The purchase order is for 10 packs of 3M Self Stick Note Pads (3" x 3", Neon, 100 Sheets/Pad, 6 Pads/Pk) at a unit price of $8.24, totaling $82.40. The order is made under Contract 615-S1, which is a term contract, with a delivery timeframe of 14 days after receipt (ARO) and a specific delivery date of 10/15/2025. The document includes a state and city sales tax exemption certificate, indicating the purchase is for the exclusive use of the State of Texas, and notes that the state is exempt from federal excise taxes except as specified in individual contracts.
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Text version
Purchase Order PO No. 26006399
Order Date: 10/14/2025
Internal Tracking No.: 0000387714
Contractor Info Bill To Ship To WorkQuest, Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
1100 West 49th Street
MC: 3063
Austin TX 78756
Samantha Butler1111 W North Loop, Austin, TX 78756undefined
NOTE TO CONTRACTOR: AGENCY CONTACT
Samantha Butler samantha.butler@dshs.texas.gov 512-776-9527
AP Email: invoices@dshs.texas.gov
Invoice per 34 TAC §20.487, amended effective May 1, 2022
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 -
Jeffrey Reyes jeffrey.reyes@hhs.texas.gov (512) 776-2254
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 61562 61562383601 Self Stick Note Pad, 3" X 3", Neon, 100 Sheets/Pad, 6 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/15/2025
MPN: 61562383601
Manufacturer Name: 3M
10 PACK 8.24 $82.40
Total $82.40
File details come from the government source that posted it. Updated .