26026556-0.pdf
PDF 15 KB Posted
- Attached to
- Term TX|615-S1|17419760511|26026556
- Contract number
- 26026556
- Issued by
- Texas
About this file
This document is a Purchase Order (PO No. 26026556) issued by the Department of State Health Services (DSHS), a state agency of Texas, to WorkQuest, Inc., a contractor located in Austin, TX. The purchase order is dated 11/17/2025 and has an internal tracking number of 0000390078. The transaction involves the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Santino Campos listed as the agency purchaser.
The purchase order is for 2 packages of legal ruled, junior size (5" X 8") yellow, micro perforated pads with 50 sheets per pad, manufactured by Bangkit and purchased under Contract 615-S1. The unit price is $7.00 per package, with an additional $5.00 transportation and freight charge, bringing the total order value to $19.00. The delivery is set for 12/1/2025 with a 14-day after receipt of order (ARO) timeline. The order is tax-exempt under Texas Tax Code, Section 151.309(4), as the property is being secured for the exclusive use of the State of Texas.
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Text version
Purchase Order PO No. 26026556
Order Date: 11/17/2025
Internal Tracking No.: 0000390078
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
1111 W North Loop, Austin, TX 78756
NOTE TO CONTRACTOR: PO# 0000390078
AGENCY CONTACT:
Laura Benson 512/776-7520 laura.benson@dshs.texas.gov
VENDOR:
Jeff Deleon jdeleon@workquest.com
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
Purchase Order PO No. 26026556
Order Date: 11/17/2025
Internal Tracking No.: 0000390078
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 61562 61562351002 Legal Ruled, Junior Size 5" X 8" Yellow, 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: OF12334
Manufacturer Name: Bangkit
2 PKG 7.00 $14.00
2 61562 61562351002 Transportation and Freight Charge 1 EACH 5.00 $5.00
Total $19.00
File details come from the government source that posted it. Updated .