26063769-0.pdf

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Attached to
Term TX|615-S1|17419760511|26063769
Contract number
26063769
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26063769) issued by the Texas Health & Human Services Commission on 12/10/2025, with an internal tracking number of 0000391554. The contractor is WorkQuest, Inc., located in Austin, Texas, and the order is for the San Antonio State Health (SH) location. The purchase order is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Debra Burns as the agency purchaser.

The purchase order is for 15 white vinyl 1 1/2" three-ring binders with inside front/back pockets, priced at $4.17 each, totaling $62.55. The order is part of Contract 615-S1, a term contract, with a delivery timeframe of 20 days after receipt of order (ARO), scheduled for delivery by 12/30/2025. The delivery will be made to the SASH Warehouse, specifically Building 818, with the delivery contact being Amanda Sadovsky. The purchase is tax-exempt under Texas Tax Code, Section 151.309(4), as the items are being secured for the exclusive use of the State of Texas.

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Text version

Purchase Order PO No. 26063769

Order Date: 12/10/2025

Internal Tracking No.: 0000391554

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

San Antonio SH 6711 S. New Braunfels, Ste 100 San Antonio TX 78223

ATTN Amanda Sadovsky San Antonio SH Whse 6711 S. New Braunfels, Ste 100 San Antonio, TX 78223 Delivery Contact: Amanda Sadovsky Bldg/Floor/Cubicle: Bldg. 817 2nd Floor Rm 2005F

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000391554 AND ATTN CONTACT INFO *** SHIP TO ATTN Amanda Sadovsky 210-531-8148 Amanda.sadovsky@hhs.texas.gov SME/Lead Contact Margaret Moreno 210-531-7718 margaret.moreno@hhs.texas.gov ***SEND INVOICES VIA EMAIL TO: SAHACCOUNTING@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

Health & Human Services Commission - 529

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564

Purchase Order PO No. 26063769

Order Date: 12/10/2025

Internal Tracking No.: 0000391554

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61573 61573162106 Binder, 1 1/2" Capacity, 3 Ring, Vinyl View, Inside Front/Back Pockets, Plus Freight Order Less Than $25 Attribute 1: White-61573162106-1 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 12/30/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Amanda Sadovsky 2 1 0 - 5 3 1 - 8 1 4 8 Amanda.sadovsky@hhs.texas.gov SME/Lead Contact Margaret Moreno 2 1 0 - 5 3 1 - 7 7 1 8 margaret.moreno@hhs.texas.gov Destination SASH Warehouse: Please deliver to Bldg. 818 Info for Warehouse staff:

Delivery Contact: Amanda Sadovsky Bldg/Floor/Cubicle: Bldg. 817 2nd Floor Rm 2005F

15 EACH 4.17 $62.55

Total $62.55

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