26213965-0.pdf

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Attached to
Term TX|615-S1|17419760511|26213965
Contract number
26213965
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26213965) issued by the State of Texas Health and Human Services Commission (HHSC) to WorkQuest, Inc. on March 12, 2026. The order is directed to Derek Lewis at the shipping address in Austin, Texas. The HHSC buyer is Oluwaseyi Omisore, and the agency contact is Derek Lewis. The transaction is documented under the Statewide Procurement Division with internal tracking number 0000397122 and CAPPS financial number 0000397122.

The purchase order encompasses five line items totaling $1,699.57 across multiple term contracts. Line 1 includes 100 lanyards with neck strings, waterproof card holders in black with safety breakaway features at $3.80 each ($380.00 total) under Contract 080-S1, with delivery scheduled for March 26, 2026. Lines 2 through 5 are sourced under Contract 615-S1 and include: 50 packs of 3M self-stick note pads (4" x 6", neon, lined) at $14.47 per pack ($723.50); one case of Rayovac High Energy AAA batteries (24-pack) at $119.10; one case of Rayovac Ultra Pro ALAA-24 batteries (24-pack) at $161.97; and 30 dozen Zebra Sarasa retractable gel pens (0.7mm, blue) at $10.50 per dozen ($315.00). Delivery dates range from March 17, 2026 to March 26, 2026, with delivery windows of 5 to 14 days. The State of Texas claims exemption from all state and city sales taxes for this purchase.

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Text version

Purchase Order PO No. 26213965

Order Date: 3/12/2026

Internal Tracking No.: 0000397122

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

Health and Human Services Commission 4601 Guadalupe St Austin TX 78751

Derek Lewis 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: CAPPS FIN PO#:0000397122

AGENCY CONTACT:

Derek Lewis 214-532-4214 Derek.Lewis1@hhs.texas.gov

AP Email: HHSC_AP@hhs.texas.gov

HHSC BUYER:

Oluwaseyi Omisore, CTCD, CTCM 512-776-4242 Oluwaseyi.Omisore@hhs.texas.gov

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

Health & Human Services Commission - 529

Oluwaseyi Omisore Oluwaseyi.Omisore@hhs.texas.gov (512) 706-4242

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 08044 08044401932 Lanyard, Neck, String, Waterproof Card Holder, Black, Safety Breakaway, Plus Freight Order Less Than $50 Contract: 080-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 3/26/2026

100 EACH 3.80 $380.00

Purchase Order PO No. 26213965

Order Date: 3/12/2026

Internal Tracking No.: 0000397122

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 61562 61562385601 Self Stick Note Pad, 4" X 6", Neon, Lined,100 Sheets/Pad, 6 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 3/26/2026 MPN: MMM6605SSCYneon Manufacturer Name: 3M

50 PACK 14.47 $723.50

3 45006 45006100103 Rayovac High Energy, AAA Batteries; 24/Pack. 32lbs/Pack. 288 Batteries/CS. Freight Included.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: 3/17/2026

MPN: 824-12T

Manufacturer Name: Rayovac

1 CASE 119.10 $119.10

4 45006 45006100101 Rayovac Ultra Pro ALAA-24 24/pack 1 . 3 5 l b s / p a c k ; 2 8 8 batteries/Case.Freight Included.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: 3/17/2026

MPN: ALAA-24

Manufacturer Name: Rayovac

1 CASE 161.97 $161.97

5 62080 62080231100 Pen, Retractable, Gel Ink, Rubber Grip, .7Mm Medium Point, Zebra Sarasa, Plus Freight Order Less Than $25 Attribute 1: BLUE Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 3/26/2026

MPN: 46810D

Manufacturer Name: Zebra

30 DOZ 10.50 $315.00

Total $1,699.57

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