26027770-0.pdf

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Attached to
Term TX|620-S1|17419760511|26027770
Contract number
26027770
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26027770) issued by the Texas Health & Human Services Commission (HHSC) on 11/24/2025, with an internal tracking number of 0000390621. The purchase order is made with WorkQuest, Inc., a contractor located in Austin, TX, with the agency contact being Shelia Adamson and the HHSC buyer being Oluwaseyi Omisore.

The purchase order is for various types of pens, specifically bio-based and biodegradable ball point pens and gel ink rollerball pens. The order includes 70 dozen pens in different specifications: medium and fine point, in black and blue colors, under Contract 620-S1. The total purchase amount is $3,039.40, with unit prices ranging from $8.53 to $9.30 per dozen. The pens are to be delivered by 12/8/2025, with a 14-day delivery after receipt (ARO) period. The purchase is tax-exempt under Texas Tax Code, Section 151.309(4), and is secured for the exclusive use of the State of Texas.

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Text version

Purchase Order PO No. 26027770

Order Date: 11/24/2025

Internal Tracking No.: 0000390621

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

350 Pine Street Flr 9 Beaumont TX 77701

SHELIA ADAMSON1090 S 4th St, Beaumont, TX 77701

NOTE TO CONTRACTOR: CAPPS FIN PO#:0000390621

AGENCY CONTACT:

SHELIA ADAMSON

409-291-6206

SHELIA.ADAMSON@HHS.TEXAS.GOV

AP Email: Reg05_Admin_Services@hhsc.state.tx.us

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

Order Date: 11/24/2025

Internal Tracking No.: 0000390621

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62080 62080058001 Pen, Ball Point, Retractable, Bio- Based, Bio-Degradable, 12 Ea/Box, Plus Freight Order Less Than $25 Attribute 1: Medium Attribute 2: Black Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/8/2025

70 DOZ 8.53 $597.10

2 62080 62080058001 Pen, Ball Point, Retractable, Bio- Based, Bio-Degradable, 12 Ea/Box, Plus Freight Order Less Than $25 Attribute 1: Fine Attribute 2: Black Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/8/2025

70 DOZ 8.53 $597.10

3 62080 62080058001 Pen, Ball Point, Retractable, Bio- Based, Bio-Degradable, 12 Ea/Box, Plus Freight Order Less Than $25 Attribute 1: Medium Attribute 2: Blue Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/8/2025

70 DOZ 8.53 $597.10

4 62080 62080058001 Pen, Ball Point, Retractable, Bio- Based, Bio-Degradable, 12 Ea/Box, Plus Freight Order Less Than $25 Attribute 1: Fine Attribute 2: Blue Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/8/2025

70 DOZ 8.53 $597.10

5 62080 62080220106 Pen, Rollerball, Gel Ink, Retractable, Rubber Grip, General Use, Plus Freight Order Less Than $25 A t t r i b u t e 1 : M e d i u m Black-62080220106 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/8/2025

70 DOZ 9.30 $651.00

Order Date: 11/24/2025

Internal Tracking No.: 0000390621

Total $3,039.40

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