26026760-0.pdf

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Attached to
Term TX|475-S1|17419760511|26026760
Contract number
26026760
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26026760) issued by the Texas Department of State Health Services (DSHS), a state agency under the Texas Health and Human Services Commission, on 11/18/2025. The purchase order is with WorkQuest, Inc., a contractor located in Austin, TX, with the agency contact being Kayla Shelley from DSHS. The document involves a procurement transaction for the state of Texas, with the purchase to be shipped to an address in Temple, TX.

The purchase order is for 25 boxes of Sterile Alcohol Prep Pads, with each box containing 200 pads, at a unit price of $2.59 per box, totaling $64.75. The order is placed under Contract 475-S1, which is a term contract with a delivery timeframe of 7 days after receipt of order (ARO), with the specific delivery date set for 11/25/2025. The transaction is tax-exempt under Texas Tax Code, Section 151.309(4), as the purchase is for the exclusive use of a Texas state agency. The purchase is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with the agency purchaser listed as Maricella Duran.

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Text version

Purchase Order PO No. 26026760

Order Date: 11/18/2025

Internal Tracking No.: 0000389995

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

Kayla Shelley4501 S General Bruce DrSte 25, Te m p l e , T X 7 6 5 0 2 E m a i l :

Kayla.Shelley@dshs.texas.gov

NOTE TO CONTRACTOR: AGENCY CONTACT:

Name: Kayla Shelley Email: Kayla.Shelley@dshs.texas.gov

AP Email: invoices@dshs.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

Dept Of State Health Services -

Maricella Duran maricella.duran@hhs.texas.gov (512) 000-0000

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 47565 47565154003 Alcohol Prep Pads;Sterile;200 Ea/Box;Freight Included Contract: 475-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 11/25/2025

25 BOX 2.59 $64.75

Total $64.75

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