26007752-0.pdf

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Attached to
Term TX|620-S1|17419760511|26007752
Contract number
26007752
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26007752) issued by the Texas Health & Human Services Commission on 10/22/2025, involving WorkQuest, Inc. as the contractor. The purchase order is for the San Antonio State Health (SASH) Warehouse, located at 6711 S. New Braunfels, Ste 100, San Antonio, TX 78223, with specific delivery instructions to Building 818. The document is processed through the Texas Comptroller of Public Accounts - Statewide Procurement Division, with Debra Burns listed as the agency purchaser.

The purchase order covers two types of pens under Contract 620-S1: 2 packs of Zebra Sarasa Gel Ink Pens (0.7Mm, Retractable, Rubber Grip) at $6.08 per pack, totaling $12.16, and 2 dozen Ballpoint Pens (Retractable, Comfort Grip, Bio-Degradable) at $8.79 per dozen, totaling $17.58. The total order value is $29.74, with a delivery timeframe of 14 days after receipt (ARO) and a specified delivery date of 11/5/2025. The order includes specific instructions for the contractor to include the PO number and contact information on the packing list, with invoices to be sent via email to SAHACCOUNTING@dshs.texas.gov.

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Text version

Purchase Order PO No. 26007752

Order Date: 10/22/2025

Internal Tracking No.: 0000388351

Contractor Info Bill To Ship To WorkQuest, Inc.

17419760511 1011 East 53 1/2 Street Austin, TX 78751

(512) 451-8145

San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223

ATTN Moreno,MargaretSan Antonio SH Whse6711 S. New Braunfels, Ste 100, San Antonio, TX 78223Destination SASH Warehouse: Please deliver to Bldg. 818

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000388351 AND ATTN CONTACT INFO *** SHIP TO ATTN Moreno,Margaret 210-532-8811 margaret.moreno@hhs.texas.gov Delivery Contact: Angelica Flores 210-531-8262 angelica.flores3@hhs.texas.gov Destination SASH Warehouse: Please deliver to Bldg. 818 SEND INVOICES VIA EMAIL TO: SAHACCOUNTING@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

Health & Human Services Commission - 529

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564

Purchase Order PO No. 26007752

Order Date: 10/22/2025

Internal Tracking No.: 0000388351

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62080 62080230105 Pen, Gel Ink, 0.7Mm, Retractable, Rubber Grip, Zebra Sarasa, 4 Pens/Pack, Plus Freight Order Less Than $25 Attribute 1: Black-62080230105 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 11/5/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Moreno,Margaret 2 1 0 - 5 3 2 - 8 8 1 1 margaret.moreno@hhs.texas.gov Delivery Contact: Angelica Flores 2 1 0 - 5 3 1 - 8 2 6 2 angelica.flores3@hhs.texas.gov Destination SASH Warehouse: Please deliver to Bldg. 818

MPN: 46810

2 PACK 6.08 $12.16

2 62080 62080001001 Pen, Ballpoint, Retractable. Comfort Grip, Bio-Degradable, Plus Freight Order Less Than $25 A t t r i b u t e 1 : M e d i u m Black-62080001001 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 11/5/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Moreno,Margaret 2 1 0 - 5 3 2 - 8 8 1 1 margaret.moreno@hhs.texas.gov Delivery Contact: Angelica Flores 2 1 0 - 5 3 1 - 8 2 6 2 angelica.flores3@hhs.texas.gov Destination SASH Warehouse: Please deliver to Bldg. 818

2 DOZ 8.79 $17.58

Total $29.74

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