26064588-0.pdf

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Attached to
Term TX|080-S1|17419760511|26064588
Contract number
26064588
Issued by
Texas

About this file

This document is a Purchase Order (PO No. 26064588) issued by the Department of State Health Services (DSHS), an agency of the State of Texas, dated 12/16/2025. The contractor is WorkQuest, Inc., located in Austin, TX, and the purchase is being made through the Texas Comptroller of Public Accounts - Statewide Procurement Division.

The purchase order is for 12 awards/plaques, specifically 8.5" x 11" document plaques with a clear cover made of recycled material and a walnut grain finish. The items are manufactured by TAB, with a unit price of $12.14 and a total extended price of $145.68. The plaques are to be delivered to the DSHS Laboratory L-114 on the 6th floor, Room L-655, located at 1100 W 49th St in Austin, TX. The delivery is set for 14 days after receipt of order (ARO), with a specific delivery date of 12/30/2025, and the purchase is made under Contract 080-S1, which is a term contract.

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Text version

Purchase Order PO No. 26064588

Order Date: 12/16/2025

Internal Tracking No.: 0000391731

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

PO BOX 149347

Fiscal Division/Accounts Payable

AUSTIN TX 78714-9347

ATTN Tammi Javey

1100 W 49TH ST

Laboratory L114 FLOOR: 2nd

AUSTIN, TX 78756-3101

Building: Laboratory L-114 Floor: 6th, Room L-655

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000391731 AND ATTN CONTACT INFO *** SHIP TO ATTN Tammi Javey 512-776-3817 Tammi.Javey2@dshs.texas.gov REQUESTER De La Paz,Paloma 512-834-6738 paloma.delapaz@dshs.texas.gov Building: Laboratory L-114 Floor: 6th, Room L-655 ***ATTN DSHS CLAIMS: Send approval requests to LabAccounting@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

Dept Of State Health Services -

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

Purchase Order PO No. 26064588

Order Date: 12/16/2025

Internal Tracking No.: 0000391731

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 08065 08065571104 Award, Plaque, 8 .5" x 11" Document, Clear Cover, Recycled Material, Qty: 12-119 A t t r i b u t e 1 : W a l n u t Grain-08065571104-1 Contract: 080-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 12/30/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Tammi Javey 5 1 2 - 7 7 6 - 3 8 1 7 Tammi.Javey2@dshs.texas.gov REQUESTER De La Paz,Paloma 5 1 2 - 8 3 4 - 6 7 3 8 paloma.delapaz@dshs.texas.gov

FOR DSHS INTERNAL DELIVERY

INFO:

Building: Laboratory L-114 Floor: 6th, Room L-655 Contact: Tammi Javey 512-776-3817 1100 W 49th St (DBGL) Austin TX 78756

CODE # 4546

MPN: 08065571104

Manufacturer Name: TAB

12 EACH 12.14 $145.68

Total $145.68

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