26211970-0.pdf

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Attached to
Term TX|615-S1|17419760511|26211970
Contract number
26211970
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 26211970) issued by the Texas Department of State Health Services (DSHS), Agency 537, on February 26, 2026. The ordering agency is purchasing from WorkQuest, Inc., a vendor located at 1011 East 53 1/2 Street, Austin, TX 78751. The order is managed by Santino Campos (purchaser) and Doris Gonzales (agency contact), with Jeff Deleon serving as the vendor contact. The order will be billed to and shipped to locations in Austin, Texas. The State of Texas is exempt from federal excise taxes and sales taxes under Texas Tax Code Section 151.309(4).

The purchase order covers two line items of office supplies. Line 1 includes 6 dozen (.7MM Medium Point, Retractable, Refillable Gel ink Pens in Black) at $9.46 per dozen, totaling $56.76, under Contract 620-S1. Line 2 includes 6 packs of 3M Self Stick Note Pads (3" X 3", Neon, 100 sheets per pad) at $8.24 per pack, totaling $49.44, under Contract 615-S1. Both items are term contracts with a 14-day delivery timeline, with an expected delivery date of March 12, 2026. The order total is $106.20. Invoicing should be submitted per 34 TAC §20.487, with sales tax exemption claimed.

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Text version

Purchase Order PO No. 26211970

Order Date: 2/26/2026

Internal Tracking No.: 0000396143

Contractor Info Bill To Ship To WorkQuest, Inc.

17419760511 1011 East 53 1/2 Street Austin, TX 78751

(512) 451-8145

1100 West 49th Street

MC: 3063

Austin TX 78756

1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: PO# 0000396143

AGENCY CONTACT:

Doris Gonzales doris.gonzales@dshs.texas.gov

VENDOR:

Jeff Deleon jdeleon@workquest.com

AP Email: invoices@dshs.texas.gov

DELIVERY: Add any delivery notes from the Requisition, if applicable.

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

Dept Of State Health Services -

Santino Campos Santino.Campos@hhs.texas.gov (210) 986-4475

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62080 62080100017 Pen, .7MM Medium Point , Retractable, Refillable, Gel ink, Plus Freight Order Less Than $25 Attribute 1: Black Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 3/12/2026

6 DOZ 9.46 $56.76

Purchase Order PO No. 26211970

Order Date: 2/26/2026

Internal Tracking No.: 0000396143

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 61562 61562383601 Self Stick Note Pad, 3" X 3", Neon, 100 Sheets/Pad, 6 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 3/12/2026

MPN: 61562383601

Manufacturer Name: 3M

6 PACK 8.24 $49.44

Total $106.20

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