26105325-0.pdf
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- Attached to
- Term TX|615-S1|17419760511|26105325
- Contract number
- 26105325
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26105325) issued by the State of Texas Health and Human Services Commission (HHSC) to WorkQuest, Inc., dated December 22, 2025. The order is directed to the HHSC Mexia Secure State Living Care (SSLC) Warehouse located in Mexia, Texas. The procurement is managed by HHSC Buyer Carlos M Mojica, with warehouse supervision by Ricky Salazar. The order references Internal Tracking Number HHSTX-6-0000392080 and is subject to Texas tax exemptions for state purchases.
The purchase order contains nine line items totaling $12,273.91 for office and facility supplies, all scheduled for delivery by January 5, 2026, with a 14-day average receipt of goods (ARO). Items include batteries (Rayovac Ultra Pro and High Energy varieties totaling 240 packs for $1,847.52), office supplies (appointment planners, desk pad calendars, steno notebooks, and pens totaling 424 units for $2,381.15), and facility supplies (88 cases of trash can liners at $7,645.44). All items are sourced from term contracts designated as 615-S1, 785-S1, 620-S1, and 485-S1. Freight is included for orders under $25, and the State of Texas claims exemption from Federal Excise Taxes and sales taxes under Texas Tax Code Section 151.309(4).
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Text version
Purchase Order PO No. 26105325
Order Date: 12/22/2025
Internal Tracking No.: HHSTX-6-0000392080
Contractor Info Bill To Ship To WorkQuest, Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
HHSC -MEXIA SSLC WHSE
424 Mesquite Dr
MEXIA TX 76667
HHSC -MEXIA SSLC WHSE
424 Mesquite Dr
MEXIA, TX 76667
NOTE TO CONTRACTOR: PO#: HHSTX-6-0000392080
AGENCY CONTACT:
Whse Supvr Ricky Salazar ricky.salazar@hhs.texas.gov Ph: 254-562-1372 Reg Mgr Taylor Gain
HHSC BUYER:
Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov
DELIVERY:
Mexia SSLC Whse 424 Mesquite Dr Mexia, Tx 76667
Invoice per 34 TAC §20.487, amended effective May 1, 2022
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
Carlos-M Mojica carlos.mojica01@hhs.texas.gov (512) 705-1880
Order Date: 12/22/2025
Internal Tracking No.: HHSTX-6-0000392080
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 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: 1/5/2026
MPN: ALAA-24
Manufacturer Name: Rayovac
120 PACK 8.70 $1,044.00
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: 1/5/2026
MPN: 824-12K
Manufacturer Name: Rayovac
96 PACK 4.75 $456.00
3 45006 45006100106 Rayovac Ultra Pro D-12 PackPlus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 1/5/2026
MPN: ALD-12PPJ
Manufacturer Name: Rayovac
24 PACK 14.48 $347.52
4 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: 1/5/2026
MPN: HOD27202
Manufacturer Name: House of Doolittle
49 EACH 15.76 $772.24
5 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: 1/5/2026
MPN: HOD124
Manufacturer Name: House of Doolittle
55 EACH 8.49 $466.95
Order Date: 12/22/2025
Internal Tracking No.: HHSTX-6-0000392080
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
6 78573 78573755714 Steno Notebook, Gregg Ruled 6 X 9;Freight Is Added To Orders Less Than $25 Contract: 785-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 1/5/2026
MPN: 00577
Manufacturer Name: Bazic
120 EACH 1.76 $211.20
7 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: 1/5/2026
96 DOZ 9.30 $892.80
8 62080 62080230105 Pen, Gel Ink, 0.7Mm, Retractable, Rubber Grip, Zebra Sarasa, 4 Pens/Pack, Plus Freight Order Less Than $25 Attribute 1: Black-62080230105 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 1/5/2026
MPN: 46810
72 PACK 6.08 $437.76
9 48505 48505115021 Bag, Trash Can Liner, LLDPE 1.5 MIL, 40-44 Gallon - Clear, Freight Included Contract: 485-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 1/5/2026
88 CASE 86.88 $7,645.44
Total $12,273.91
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