26026353-0.pdf
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- Attached to
- Term TX|615-S1|17419760511|26026353
- Contract number
- 26026353
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26026353) issued by the Department of State Health Services (DSHS), an agency of the State of Texas, to WorkQuest, Inc., a contractor located in Austin, TX. The purchase order is dated 11/14/2025 and contains an internal tracking number of 0000389986. The document indicates this is a transaction under Contract 615-S1, which appears to be a term contract with the state.
The purchase order covers two line items: 6 dozen blue Zebra Sarasa retractable gel ink pens with a rubber grip (at $10.50 per dozen, totaling $63.00) and 1 pack of Rayovac Ultra Pro ALAA-24 batteries (24/pack, containing 288 batteries, at $8.70). The total purchase amount is $71.70. Delivery is set for 11/28/2025 with a 14-day after receipt of order (ARO) timeline. The shipment is to be sent to Leslie Stark at the DSHS warehouse in Austin, TX, with specific instructions that the packing list must show the PO number and contact information. The purchase is exempt from federal excise taxes and falls under the Texas Tax Code's state and city sales tax exemption for state use.
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Text version
Purchase Order PO No. 26026353
Order Date: 11/14/2025
Internal Tracking No.: 0000389986
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 Leslie Stark1111 W North Loop, Austin, TX 78756Contact Leslie Stark Tower, 6th floor, Suite T-605
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000389986 AND ATTN CONTACT INFO *** SHIP TO ATTN Leslie Stark 512-776-2736 leslie.stark@dshs.texas.gov WAREHOUSE DELIVERY Contact Leslie Stark Tower, 6th floor, Suite T-605 DSHS Invoices: 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
Purchase Order PO No. 26026353
Order Date: 11/14/2025
Internal Tracking No.: 0000389986
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 62080 62080231100 Pen, Retractable, Gel Ink, Rubber Grip, .7Mm Medium Point, Zebra Sarasa, Plus Freight Order Less Than $25 Attribute 1: BLUE Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 11/28/2025 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Lesl ie Stark 5 1 2 - 7 7 6 - 2 7 3 6 leslie.stark@dshs.texas.gov WAREHOUSE DELIVERY Contact Leslie Stark Tower, 6th floor, Suite T-605
***REQUISITION 0000319905**
MPN: 46810D
Manufacturer Name: Zebra
6 DOZ 10.50 $63.00
2 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: 11/28/2025 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Lesl ie Stark 5 1 2 - 7 7 6 - 2 7 3 6 leslie.stark@dshs.texas.gov WAREHOUSE DELIVERY Contact Leslie Stark Tower, 6th floor, Suite T-605
***REQUISITION 0000319909**
MPN: ALAA-24
Manufacturer Name: Rayovac
1 PACK 8.70 $8.70
Total $71.70
File details come from the government source that posted it. Updated .