26064597-0.pdf

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Attached to
Term TX|485-S1|17419760511|26064597
Contract number
26064597
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26064597) issued by the Texas Department of State Health Services (DSHS) on 12/16/2025, with WorkQuest, Inc. as the contractor. The purchase order is processed through the Texas Comptroller of Public Accounts - Statewide Procurement Division, with Debra Burns as the agency purchaser. The shipping and billing will be handled through the DSHS Fiscal Division/Accounts Payable, with goods to be delivered to Patricia Louise Cochran in the Pharmacy Unit.

The purchase order covers multiple office supplies from different manufacturers, including House of Doolittle and 3M, with a total contract value of $429.75. Items include 16 monthly appointment planners ($252.16), 5 desk pad calendars ($42.45), 3 dozen permanent markers ($15.63), 3 dozen rollerball pens ($27.90), 1 pack of 3" x 3" sticky notes ($8.24), 1 pack of 4" x 6" sticky notes ($14.47), and 1 case of Purell hand sanitizer ($68.90). All items are purchased under term contracts (615-S1, 620-S1, and 485-S1) with a 14-day delivery timeframe, set to be delivered by 12/30/2025. The state claims tax exemption for these purchases, and contractors are required to include the PO number on packing lists.

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Text version

Purchase Order PO No. 26064597

Order Date: 12/16/2025

Internal Tracking No.: 0000391739

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 Cochran,Patricia Louise 1111 W North Loop Austin, TX 78756 Staff Services Officer, Pharmacy Unit

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000391739 AND ATTN CONTACT INFO *** SHIP TO ATTN Cochran,Patricia Louise 512-776-2705 patricia.cochran@dshs.texas.gov ***SEND INVOICE TO invoices@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

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61515 61515074505 Appointment Planner, Monthly, Black, Wire Bound, 8-7/8 X 11-1/4, Black, 100% Post-Consumer Recycled, Freight included Attribute 1: 2026 Contract: 615-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 Cochran,Patricia L o u i s e 5 1 2 - 7 7 6 - 2 7 0 5 patricia.cochran@dshs.texas.gov Mail Code 4544

MPN: HOD27202

Manufacturer Name: House of Doolittle

16 EACH 15.76 $252.16

Order Date: 12/16/2025

Internal Tracking No.: 0000391739

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 61519 61519130779 Calendar, Desk Pad, 22 X 17, 12 Months,Freight included Attribute 1: 2026 Contract: 615-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 Cochran,Patricia L o u i s e 5 1 2 - 7 7 6 - 2 7 0 5 patricia.cochran@dshs.texas.gov Mail Code 4544

MPN: HOD124

Manufacturer Name: House of Doolittle

5 EACH 8.49 $42.45

3 62090 62090161027 Marker, Permanent, Chisel Tip, 12 Each, Plus Freight Order Less Than $25 Attribute 1: Black-62090161027 Contract: 620-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 Cochran,Patricia L o u i s e 5 1 2 - 7 7 6 - 2 7 0 5 patricia.cochran@dshs.texas.gov Mail Code 4544

3 DOZ 5.21 $15.63

4 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: 12/30/2025 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Cochran,Patricia L o u i s e 5 1 2 - 7 7 6 - 2 7 0 5 patricia.cochran@dshs.texas.gov Mail Code 4544

3 DOZ 9.30 $27.90

Order Date: 12/16/2025

Internal Tracking No.: 0000391739

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

5 61562 61562383601 Self Stick Note Pad, 3" X 3", Neon, 100 Sheets/Pad, 6 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-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 Cochran,Patricia L o u i s e 5 1 2 - 7 7 6 - 2 7 0 5 patricia.cochran@dshs.texas.gov Mail Code 4544

MPN: 61562383601

Manufacturer Name: 3M

1 PACK 8.24 $8.24

6 61562 61562385601 Self Stick Note Pad, 4" X 6", Neon, Lined,100 Sheets/Pad, 6 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-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 Cochran,Patricia L o u i s e 5 1 2 - 7 7 6 - 2 7 0 5 patricia.cochran@dshs.texas.gov Mail Code 4544 MPN: MMM6605SSCYneon Manufacturer Name: 3M

1 PACK 14.47 $14.47

7 48513 48513501010 Purell Instant Hand Sanitizer Soothing Gel,12oz.;12/CSFreight Included.

Contract: 485-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 Cochran,Patricia L o u i s e 5 1 2 - 7 7 6 - 2 7 0 5 patricia.cochran@dshs.texas.gov Mail Code 4544

MPN: 3639-12

Manufacturer Name: Purell

1 CASE 68.90 $68.90

Order Date: 12/16/2025

Internal Tracking No.: 0000391739

Total $429.75

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