26159161-0.pdf
PDF 15 KB Posted
- Attached to
- Term TX|615-S1|17419760511|26159161
- Contract number
- 26159161
- Issued by
- Texas
About this file
Purchase Order Summary
This is a Purchase Order (PO No. 26159161) issued by the State of Texas, Health & Human Services Commission (Agency 529), dated January 26, 2026. The purchasing agency is represented by Desiree Fowler. The contractor is WorkQuest, Inc., located at 1011 East 53 1/2 Street, Austin, Texas 78751. Goods are to be delivered to the Terrell SH Warehouse facility at 6515 Kemp Boulevard, Wichita Falls, Texas 76308, Building 506, with Charlie Henderson as the designated recipient. The agency contact is Mary Catherine Brothers at the Texas Department of State Health Services.
The purchase order covers 7 packages of Legal Ruled, Junior Size 5" X 8" White Micro Perforated Notepads (50-sheet pads) manufactured by Bangkit with MPN OF12332. The unit price is $14.04 per package, resulting in an extended price of $98.28 for the total order. The contract is identified as 615-S1, a term contract, with an expected delivery date of February 9, 2026 (14 days after order placement). Freight charges are included for orders under $25. The State of Texas claims exemption from Federal Excise Taxes and State and City Sales Taxes under Texas Tax Code Section 151.309(4). Invoicing must comply with 34 TAC §20.487, with payments directed to the DSHS Business Office.
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Text version
Purchase Order PO No. 26159161
Order Date: 1/26/2026
Internal Tracking No.: 393905
Contractor Info Bill To Ship To WorkQuest, Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
Terrell SH Whse 1200 E Brin
TERRELL TX 75160
6515 Kemp Blvd PO Box 300 Wichita Falls, TX 76308 Warehouse: Please deliver to Bldg. 506 - Charlie Henderson
NOTE TO CONTRACTOR: PO#: CAPPS FIN PO# 0000393905
AGENCY CONTACT:
Mary Catherine Brothers 940-689-5536 mary.brothers@hhs.texas.gov
AP Email: DSHS.TSHBusinessOffice@dshs.texas.gov
Invoice per 34 TAC §20.487, amended effective 5.1.22
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
Desiree Fowler desiree.fowler@hhs.texas.gov (512) 909-4500
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 61562 61562351001 Legal Ruled, Junior Size 5" X 8" White Micro Perforated Pad. 50 Sheet Pad. Freight Is Added To Orders Less Than $25.
Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 2/9/2026
MPN: OF12332
Manufacturer Name: Bangkit
7 PKG 14.04 $98.28
Purchase Order PO No. 26159161
Order Date: 1/26/2026
Internal Tracking No.: 393905
Total $98.28
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