26125989-0.pdf

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Attached to
Term TX|625-S1|17419760511|26125989
Contract number
26125989
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26125989) issued by the Department of State Health Services (DSHS), a Texas state agency, dated 12/30/2025. The contractor is WorkQuest, Inc., located in Austin, Texas, and the order is being shipped to Paloma DeLaPaz at a laboratory location in Austin. The purchase order is associated with Contract 625-S1 and internal tracking number 0000392296.

The document details the purchase of one pair of safety glasses - specifically a Honeywell Titmus SW12 Single Vision Basic Frame (MPN: 62526421251) in black, sized 62.15.125. The unit price is $117.94, with the total order amount matching this price. The glasses are to be delivered within 14 days after receipt of order (ARO), with a specified delivery date of 1/13/2026. The purchase is made under a term contract and includes freight. The order is tax-exempt under Texas Tax Code Section 151.309(4), as it is being secured for exclusive use by the State of Texas.

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Text version

Purchase Order PO No. 26125989

Order Date: 12/30/2025

Internal Tracking No.: 0000392296

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

Paloma DeLaPaz

1100 W 49TH ST

Laboratory L114 FLOOR: 2nd

AUSTIN, TX 78756-3101

NOTE TO CONTRACTOR: Contact: Paloma DeLaPaz 512-776-6648 Paloma.DeLaPaz@dshs.texas.gov Contract: 625-S1

HHS REQ 320788

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 -

Sharonda Holton Sharonda.holton@hhs.texas.gov (512) 406-2464

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62526 62526421251 Glasses, Safety, Single Vision Basic Frame, Prescription, Freight Included Attribute 1: 62526421251-3 BLACK Titmus SW12 Size 62.15.125 Contract: 625-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 1/13/2026

MPN: 62526421251

Manufacturer Name: Honeywell

1 PR 117.94 $117.94

Total $117.94

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