26064571-0.pdf

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Attached to
Term TX|615-S1|17419760511|26064571
Contract number
26064571
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26064571) issued by the Department of State Health Services in Texas, with WorkQuest, Inc. as the contractor. The purchase order is dated 12/16/2025 and involves the Texas Health and Human Services Commission (HHSC), specifically managed by buyer Lindsey De La Rosa. The document includes billing and shipping information for WorkQuest, located in Austin, Texas, with the order to be shipped to Tina Gaitan.

The purchase order covers three different types of Rayovac batteries under Contract 615-S1, with a term contract and 14-day delivery after order (ARO). The order includes 2 packs of Rayovac Ultra Pro C-12 at $10.48 per pack, 12 packs of Rayovac High Energy 824-12k at $4.75 per pack, and 7 packs of Rayovac Ultra Pro ALAA-24 at $8.70 per pack. The total order value is $138.86, with a specified delivery date of 12/30/2025. The purchase is tax-exempt under Texas Tax Code, Section 151.309(4), as the items are being secured for exclusive use by the State of Texas.

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Text version

Purchase Order PO No. 26064571

Order Date: 12/16/2025

Internal Tracking No.: 0000391715

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

Tina Gaitan 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: PO#: 0000391715

AGENCY CONTACT:

Jennifer Vinyard 512-865-9481 Jennifer.Vinyard@dshs.texas.gov

SHIP ATTN:

Tina Gaitan 512-776-3688 tina.gaitan@dshs.texas.gov

HHSC BUYER:

Lindsey De La Rosa lindsey.delarosa@hhs.texas.gov

AP Email: invoices@dshs.texas.gov

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 -

Lindsey- De-La-Rosa- lindsey.delarosa@hhs.texas.gov (512) 294-3627

Purchase Order PO No. 26064571

Order Date: 12/16/2025

Internal Tracking No.: 0000391715

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 45006 45006100104 Rayovac Ultra Pro C-12 Pack, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/30/2025

MPN: ALC-12PPJ

Manufacturer Name: Rayovac

2 PACK 10.48 $20.96

2 45006 45006100102 Rayovac High Energy 824-12k 12/pack .32lbs/pack.Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/30/2025

MPN: 824-12K

Manufacturer Name: Rayovac

12 PACK 4.75 $57.00

3 45006 45006100100 Rayovac Ultra Pro ALAA-24 24/pack 1.35lbs/pack; 288 batteries /Case.Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/30/2025

MPN: ALAA-24

Manufacturer Name: Rayovac

7 PACK 8.70 $60.90

Total $138.86

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