26023976-0.pdf

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Attached to
Term TX|615-S1|17419760511|26023976
Contract number
26023976
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26023976) issued by the Texas Department of State Health Services (DSHS) on 10/29/2025, with WorkQuest, Inc. of Austin, TX as the contractor. The purchase order is processed through the Texas Comptroller of Public Accounts - Statewide Procurement Division, with Debra Burns as the agency purchaser, and will be shipped to Daniell Cooper at the DSHS facility in Austin.

The purchase order covers two battery product lines from Rayovac: 4 packs of Rayovac Ultra Pro ALAA-24 (24/pack, 288 batteries total) at $8.70 per pack, totaling $34.80, and 8 packs of Rayovac High Energy 824-12k (12/pack) at $4.75 per pack, totaling $38.00. The total order value is $72.80, issued under Contract 615-S1 with a term contract type. The delivery is set for 11/12/2025 with a 14-day after receipt (ARO) timeline. The order includes a note requiring a packing list that shows the PO number and contact information, and the State of Texas claims tax exemption under Texas Tax Code, Section 151.309(4).

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Text version

Purchase Order PO No. 26023976

Order Date: 10/29/2025

Internal Tracking No.: 0000388909

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: Daniell Cooper1111 W North Loop, Austin, TX 78756Moreton Building, M2-86A Second Floor

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000388909 AND ATTN CONTACT INFO *** Ship to Attn: Daniell Cooper 512-317-7169 daniell.cooper@dshs.texas.gov INVOICE EMAIL: NewbornScreening.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

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 45006 45006100100 Rayovac Ultra Pro ALAA-24 24/pack 1.35lbs/pack; 288 batteries /Case.Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 11/12/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

Ship to Attn: Daniel l Cooper 5 1 2 - 3 1 7 - 7 1 6 9 daniell.cooper@dshs.texas.gov

MPN: ALAA-24

Manufacturer Name: Rayovac

4 PACK 8.70 $34.80

Purchase Order PO No. 26023976

Order Date: 10/29/2025

Internal Tracking No.: 0000388909

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 45006 45006100102 Rayovac High Energy 824-12k 12/pack .32lbs/pack.Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 11/12/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

Ship to Attn: Daniel l Cooper 5 1 2 - 3 1 7 - 7 1 6 9 daniell.cooper@dshs.texas.gov

MPN: 824-12K

Manufacturer Name: Rayovac

8 PACK 4.75 $38.00

Total $72.80

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