26026473-0.pdf

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Attached to
Term TX|310-S1|17419760511|26026473
Contract number
26026473
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26026473) issued by the Texas Health & Human Services Commission (HHSC) on 11/17/2025, with an internal tracking number of 0000390035. The document involves WorkQuest, Inc., based in Austin, TX, as the contractor, with the order being shipped to Brenham SSLC (State Supported Living Center) located in Brenham, TX. The primary agency contact is Diana Dockal, and the HHSC buyer is Oluwaseyi Omisore.

The purchase order covers three office supply items: 2 packages of legal ruled, junior-sized white micro-perforated pads from Bangkit (at $14.04 per package), 2 packs of yellow self-stick note pads from 3M (at $12.60 per pack), and 1 carton of button & string inter-departmental envelopes from Quality Park (at $109.51 per carton). The total order value is $162.79, with items purchased under term contracts (615-S1 and 310-S1). All items are set for delivery by 12/1/2025 with a 14-day after receipt (ARO) delivery timeframe. The order includes a tax exemption for the State of Texas and follows the Texas Comptroller of Public Accounts procurement guidelines.

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Text version

Purchase Order PO No. 26026473

Order Date: 11/17/2025

Internal Tracking No.: 0000390035

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

Brenham SSLC 4001 Highway 36 South Brenham TX 77833

Diana Dockal2100 PrestonBLDG 501 RM 108, Richmond, TX 77469

NOTE TO CONTRACTOR: CAPPS FIN PO#:0000390035

AGENCY CONTACT:

Diana Dockal 281-344-4427 diana.dockal@hhs.texas.gov

AP Email: 712Accounting@hhs.texas.gov

Ship to Attn: Diana Dockal

BLDG, 501/RM 108

HHSC BUYER:

Oluwaseyi Omisore, CTCD, CTCM 512-776-4242 Oluwaseyi.Omisore@hhs.texas.gov

Invoice per 34 TAC §20.487, amended effective May 1, 2022

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

Oluwaseyi Omisore Oluwaseyi.Omisore@hhs.texas.gov (512) 706-4242

Purchase Order PO No. 26026473

Order Date: 11/17/2025

Internal Tracking No.: 0000390035

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61562 61562351001 Legal Ruled, Junior Size 5" X 8" White Micro Perforated Pad. 50 Sheet Pad. Freight Is Added To Orders Less Than $25.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/1/2025

MPN: OF12332

Manufacturer Name: Bangkit

2 PKG 14.04 $28.08

2 61562 61562385602 Self Stick Note Pad, 4" X 6", Yellow, Lined,100 Sheets/Pad, 6 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/1/2025

MPN: MMM6605SSCY

Manufacturer Name: 3M

2 PACK 12.60 $25.20

3 31006 31006433576 Button & String Inter-Departmental Envelopes 10 X 13 Yel low 100/Carton , Freight included.

Contract: 310-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/1/2025

MPN: QUA63576

Manufacturer Name: Quality Park

1 CRTN 109.51 $109.51

Total $162.79

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