26212287-0.pdf

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Attached to
Term TX|615-S1|17419760511|26212287
Contract number
26212287
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26212287) issued by the State of Texas, Department of State Health Services (DSHS), Agency 537, on March 2, 2026. The purchasing agent is Nicole Smith of the CTCD/CTCM division. The contractor is WorkQuest, Inc., located at 1011 East 53 1/2 Street in Austin, Texas. The order will be billed to DSHS at 1100 West 49th Street, Austin, Texas, and shipped to the warehouse facility at 1111 W North Loop, Austin, Texas. The primary point of contact for the contractor is Riley Naugle.

The purchase order comprises two line items totaling $67.18. Line 1 requests three packages of transparent refill tape (3/4" x 1000", Core 1", multi-purpose, 6/pack) at $6.56 per package under Contract 832-S1, with an extended price of $19.68. Line 2 requests ten packs of Rayovac High Energy 824-12k batteries (12/pack) at $4.75 per pack under Contract 615-S1, with an extended price of $47.50. Both items are term contracts with a 14-day delivery window, with a delivery date of March 16, 2026. The State of Texas is exempt from federal excise taxes and state and city sales taxes under Texas Tax Code Section 151.309(4).

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Text version

Purchase Order PO No. 26212287

Order Date: 3/2/2026

Internal Tracking No.: 0000396314

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#: 0000396314

AGENCY CONTACT:

Riley Naugle 512-656-4780 riley.naugle1@dshs.texas.gov

Bill to: Invoices@dshs.texas.gov Warehouse Deliver to: T809

HHSC BUYER:

Nicole Smith, CTCD, CTCM Nicole.Smith1@hhs.texas.gov

AP Email: invoices@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

Dept Of State Health Services -

Nicole Smith Nicole.Smith1@hhs.texas.gov (512) 776-2039

Purchase Order PO No. 26212287

Order Date: 3/2/2026

Internal Tracking No.: 0000396314

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 83220 83220112 Tape, Transparent, Refill, 3/4" x 1000", Core 1", Multi-Purpose, 6/Pack, Freight Order Less Than $50 Contract: 832-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 3/16/2026

3 PKG 6.56 $19.68

2 45006 45006100102 Rayovac High Energy 824-12k 12/pack .32lbs/pack.Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 3/16/2026

MPN: 824-12K

Manufacturer Name: Rayovac

10 PACK 4.75 $47.50

Total $67.18

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