26064605-0.pdf
PDF 18 KB Posted
- Attached to
- Term TX|615-S1|17419760511|26064605
- Contract number
- 26064605
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26064605) issued by the Department of State Health Services (DSHS) in Texas, specifically through the Texas Comptroller of Public Accounts - Statewide Procurement Division. The purchase order is issued to WorkQuest, Inc., located in Austin, Texas, with the goods to be delivered to the DSHS Laboratory L114 facility at 1100 W 49th St in Austin, with Virginia Flores as the primary contact.
The purchase order covers four line items under Contract 615-S1, including 8 desk pad calendars for 2026 from House of Doolittle at $8.49 each, 5 monthly black wire-bound appointment planners for 2026 at $15.76 each, 1 pack of 24 Rayovac Ultra Pro batteries at $8.70, and 2 packs of Rayovac High Energy batteries at $4.75 per pack. The total purchase amount is $164.92, with a delivery timeframe of 14 days after order (ARO) and a specified delivery date of 12/30/2025. The order is tax-exempt under Texas Tax Code and includes provisions for freight and specific packaging and contact information requirements.
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Text version
Purchase Order PO No. 26064605
Order Date: 12/16/2025
Internal Tracking No.: 0000391743
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 Virginia Flores
1100 W 49TH ST
Laboratory L114 FLOOR: 2nd
AUSTIN, TX 78756-3101
BUILDING: Laboratory L114 FLOOR: 6th, RM L641
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000391743 AND ATTN CONTACT INFO *** SHIP TO ATTN Virginia Flores 512-776-7587 Virginia.Flores@dshs.texas.gov BUILDING: Laboratory L114 FLOOR: 6th, RM L641 ***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
Order Date: 12/16/2025
Internal Tracking No.: 0000391743
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 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: AGENCY CONTACT:
***PACKING LIST REQUIRED TO
SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Virginia Flores 5 1 2 - 7 7 6 - 7 5 8 7 Virginia.Flores@dshs.texas.gov 4546 - Austin:1100 W 49th St (DBGL
DEPARTMENT OF STATE HEALTH
SERVICES 1100 W 49th St (DBGL)
FOR DSHS INTERNAL DELIVERY
INFO:
BUILDING: Laboratory L114 FLOOR:
6th, RM L641 CONTACT: Virginia Flores
MPN: HOD124
Manufacturer Name: House of Doolittle
8 EACH 8.49 $67.92
2 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: AGENCY CONTACT:
***PACKING LIST REQUIRED TO
SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Virginia Flores 5 1 2 - 7 7 6 - 7 5 8 7 Virginia.Flores@dshs.texas.gov 4546 - Austin:1100 W 49th St (DBGL
DEPARTMENT OF STATE HEALTH
SERVICES 1100 W 49th St (DBGL)
FOR DSHS INTERNAL DELIVERY
INFO:
BUILDING: Laboratory L114 FLOOR:
6th, RM L641 CONTACT: Virginia Flores
MPN: HOD27202
Manufacturer Name: House of Doolittle
5 EACH 15.76 $78.80
Order Date: 12/16/2025
Internal Tracking No.: 0000391743
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
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 Notes: AGENCY CONTACT:
***PACKING LIST REQUIRED TO
SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Virginia Flores 5 1 2 - 7 7 6 - 7 5 8 7 Virginia.Flores@dshs.texas.gov 4546 - Austin:1100 W 49th St (DBGL
DEPARTMENT OF STATE HEALTH
SERVICES 1100 W 49th St (DBGL)
FOR DSHS INTERNAL DELIVERY
INFO:
BUILDING: Laboratory L114 FLOOR:
6th, RM L641 CONTACT: Virginia Flores
MPN: ALAA-24
Manufacturer Name: Rayovac
1 PACK 8.70 $8.70
4 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 Notes: AGENCY CONTACT:
***PACKING LIST REQUIRED TO
SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Virginia Flores 5 1 2 - 7 7 6 - 7 5 8 7 Virginia.Flores@dshs.texas.gov 4546 - Austin:1100 W 49th St (DBGL
DEPARTMENT OF STATE HEALTH
SERVICES 1100 W 49th St (DBGL)
FOR DSHS INTERNAL DELIVERY
INFO:
BUILDING: Laboratory L114 FLOOR:
6th, RM L641 CONTACT: Virginia Flores
MPN: 824-12K
Manufacturer Name: Rayovac
2 PACK 4.75 $9.50
Order Date: 12/16/2025
Internal Tracking No.: 0000391743
Total $164.92
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