26146398-0.pdf

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Attached to
Term TX|620-S1|17419760511|26146398
Contract number
26146398
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26146398) issued by the Texas Department of State Health Services on 1/5/2026, with WorkQuest, Inc. as the contractor. The purchase order is processed through the Texas Comptroller of Public Accounts' Statewide Procurement Division, with Debra Burns serving as the agency purchaser. The document includes shipping and billing information for the Texas state agency, with specific contact details for Rodriguez, Monica, Laura Ryon, and Rashi Gangwal.

The purchase order is for one pack of Mechanical Pencils (American Classic, Black Barrel, 12 Pencils/Pack) with a 0.7mm lead, priced at $14.55. The order is made under Contract 620-S1, which is a term contract with a delivery timeframe of 14 days after receipt of order (ARO), specifically set for delivery by 1/19/2026. The purchase is subject to Texas state tax exemption under Texas Tax Code, Section 151.309(4), and is intended for the exclusive use of the State of Texas. The contractor is required to include the PO number and contact information on the packing list when shipping the items.

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Text version

Purchase Order PO No. 26146398

Order Date: 1/5/2026

Internal Tracking No.: 0000392520

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 Rodriguez,Monica 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000392520 AND ATTN CONTACT INFO *** SHIP TO ATTN Rodriguez,Monica 512-540-1597 Monica.Rodriguez5@dshs.texas.gov Laura Ryon 512-776-7770 Laura.Ryon@dshs.texas.gov Rashi Gangwal 512-438-2141 Rashika.Gangwal@dshs.texas.gov ***Send invoices to invoices@dshs.texas.gov ; RLHO@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. 26146398

Order Date: 1/5/2026

Internal Tracking No.: 0000392520

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62020 62060283003 Pencil, Mechanical, American Classic, Black Barrel l , 12 Pencils/Pack,Plus Freight Order Less Than $25 Attribute 1: 0.7mm-62060283003-2 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 1/19/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Rodriguez,Monica 5 1 2 - 5 4 0 - 1 5 9 7 Monica.Rodriguez5@dshs.texas.gov Laura Ryon 512-776-7770 Laura.Ryon@dshs.texas.gov Rashi Gangwal 512-438-2141 Rashika.Gangwal@dshs.texas.gov

1 PACK 14.55 $14.55

Total $14.55

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