26006663-0.pdf

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Attached to
Term TX|475-S1|17419760511|26006663
Contract number
26006663
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26006663) issued by the Texas Department of State Health Services (DSHS) on 10/15/2025, with WorkQuest, Inc. as the contracted vendor. The purchase order involves the agency's Statewide Procurement Division and is specifically for the Department of State Health Services, with Santino Campos as the agency purchaser and Shantique Rojas as the agency contact. The vendor is located in Austin, TX, with contact information including an email and phone number.

The purchase order is for 40 boxes of Sterile Alcohol Prep Pads (200 pads per box), with freight included, at a unit price of $2.59 per box, totaling $103.60. The order is made under Contract 475-S1, which is a Term contract, with a delivery timeline of 7 days after receipt (ARO) and a specific delivery date of 10/16/2025. The document includes a state tax exemption certificate, indicating the purchase is for the exclusive use of the State of Texas, and specifies an invoice process in accordance with Texas Administrative Code §20.487.

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Text version

Purchase Order PO No. 26006663

Order Date: 10/15/2025

Internal Tracking No.: 0000387841

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

622 S Oakes StSte H, San Angelo, TX 76903undefined

NOTE TO CONTRACTOR: PO# 0000387841

AGENCY CONTACT:

Shantique Rojas shantique.rojas@dshs.texas.gov

VENDOR:

smartbuy@workquest.com (512)451-8145

AP Email: invoices@dshs.texas.gov

DELIVERY: Add any delivery notes from the Requisition, if applicable.

Invoice per 34 TAC §20.487, amended effective 5-1-22

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 -

Santino Campos Santino.Campos@hhs.texas.gov (210) 986-4475

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 47565 47565154003 Alcohol Prep Pads;Sterile;200 Ea/Box;Freight Included Contract: 475-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 10/16/2025

40 BOX 2.59 $103.60

Purchase Order PO No. 26006663

Order Date: 10/15/2025

Internal Tracking No.: 0000387841

Total $103.60

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