26211647-0.pdf

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Attached to
Term TX|615-S1|17419760511|26211647
Contract number
26211647
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26211647) issued by the Texas Department of State Health Services (DSHS), Agency 537, on February 24, 2026. The order was placed with WorkQuest, Inc., located at 1011 East 53 1/2 Street in Austin, Texas 78751. The purchase order is managed by Chelsea Stefek, HHSC Buyer at the Texas Comptroller of Public Accounts Statewide Procurement Division, with delivery directed to Rhoda Gilmore at 1111 W North Loop, Austin, Texas 78756. The State of Texas claims exemption from sales and excise taxes under Texas Tax Code, Section 151.309(4).

The purchase order comprises five line items for office supplies totaling $217.00, all sourced under Term Contract 615-S1 with a standard delivery timeframe of 14 days and a delivery date of March 10, 2026. The items include: 12 white legal pads, 8-1/2" x 11-3/4" at $2.01 each ($24.12 total); 12 yellow legal pads, 8-1/2" x 11-3/4" at $2.64 each ($31.68 total); 4 packages of junior-size white legal ruled pads at $14.04 per package ($56.16 total); 6 packages of junior-size yellow legal ruled pads at $7.00 per package ($42.00 total); and 4 monthly appointment planners (2026) at $15.76 each ($63.04 total). All items are manufactured by either Bazic, Bangkit, or House of Doolittle. Freight charges are included for most items or added to orders less than $25.

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Text version

Purchase Order PO No. 26211647

Order Date: 2/24/2026

Internal Tracking No.: HHSTX-6-0000395973

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

Rhoda Gilmore 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: PO#: HHSTX-6-0000395973

AGENCY CONTACT:

Gabriela Soto Gabriela.Soto@dshs.texas.gov

AP Email: Invoices@dshs.texas.gov

HHSC BUYER:

Chelsea Stefek, CTCD Chelsea.Stefek@hhs.texas.gov

DELIVERY:

Rhoda Gilmore 1111 W North Loop Austin TX 78756 512-545-8836

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

Dept Of State Health Services -

Chelsea Stefek chelsea.stefek@hhs.texas.gov (512) 000-0000

Order Date: 2/24/2026

Internal Tracking No.: HHSTX-6-0000395973

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61562 61562500001 Legal Pad, White, 8-1/2" X 11-3/4".

Order in multiples of 12. Freight is added to orders less than $25.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 3/10/2026

MPN: 598

Manufacturer Name: Bazic

12 EACH 2.01 $24.12

2 61562 61562500002 Legal Pad, Yellow, 8-1/2" X 11-3/4", Order In Multiples Of 12. Freight Is Included.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 3/10/2026

MPN: 00597

Manufacturer Name: Bazic

12 EACH 2.64 $31.68

3 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: 3/10/2026

MPN: OF12332

Manufacturer Name: Bangkit

4 PKG 14.04 $56.16

4 61562 61562351002 Legal Ruled, Junior Size 5" X 8" Yellow, 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: 3/10/2026

MPN: OF12334

Manufacturer Name: Bangkit

6 PKG 7.00 $42.00

Order Date: 2/24/2026

Internal Tracking No.: HHSTX-6-0000395973

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

5 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: 3/10/2026

MPN: HOD27202

Manufacturer Name: House of Doolittle

4 EACH 15.76 $63.04

Total $217.00

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