26006399-1.pdf
PDF 15 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 Change Notice (PO No. 26006399) issued by the Texas Department of State Health Services (DSHS) on 10/14/2025, with WorkQuest, Inc. as the contractor. The purchase order involves the Statewide Procurement Division of the Texas Comptroller of Public Accounts, with Jeffrey Reyes as the agency purchaser and Samantha Butler serving as the agency contact.
The purchase order is for 10 packs of Self Stick Note Pads, 3" x 3", Neon, 100 Sheets/Pad, 6 Pads/Pk, manufactured by 3M, with a unit price of $8.24 and a total order value of $82.40. The order is made under Contract 615-S1, a term contract with a delivery period of 14 days after receipt of order (ARO). The delivery date was changed from 10/15/2025 to 10/28/2025. The order is tax-exempt under Texas Tax Code, Section 151.309(4), and is secured for the exclusive use of the State of Texas.
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Text version
Purchase Order Change Notice 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
10/14/2025-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
10/20/2025-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
REVISION HISTORY:
PO Revision #: 1 PO Change Reasons (Aggregated):10/20/2025 8:00 am-Shipping delivery date has changed from: Wed Oct 15 2025 00:00:00 GMT-0700 (PDT) to: Tue Oct 28 2025 00:00:00 GMT-0700 (PDT)
Purchase Order Change Notice PO No. 26006399
Order Date: 10/14/2025
Internal Tracking No.: 0000387714
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/CO-OP Member 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 Amount
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: Tue Oct 28 2025
00:00:00 GMT-0700 (PDT)
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 .