26213982-0.pdf

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Attached to
Term TX|620-S1|17419760511|26213982
Contract number
26213982
Issued by
Texas

About this file

Purchase Order No. 26213982 is issued by the Texas Health & Human Services Commission (Agency 529) on March 12, 2026, with internal tracking number HHSTX-6-0000397225. The purchasing agent is Leslie Alexander. The contractor is WorkQuest, Inc., located in Austin, Texas. The order is billed to Terrell SH Warehouse in Terrell, Texas, and shipped to 6515 Kemp Blvd in Wichita Falls, Texas, for delivery to Building 506. The contact person for delivery is Charlie Henderson, with Mary Brothers serving as the agency's primary contact.

The purchase order contains two line items totaling $156.60. Line 1 specifies five packages of legal ruled, junior size 5" × 8" white micro perforated pads (50-sheet pads) manufactured by Bangkit under part number OF12332, at $14.04 per package ($70.20 extended price), under Term Contract 615-S1 with a delivery date of March 26, 2026. Line 2 orders ten boxes of 0.5mm lead refill (12 leads per tube, 12 tubes per box) at $8.64 per box ($86.40 extended price), under Term Contract 620-S1 with a delivery date of April 13, 2026. Both items include freight charges for orders less than $25. The State of Texas claims a tax exemption under Texas Tax Code Section 151.309(4) as these items are for exclusive state use.

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Text version

Purchase Order PO No. 26213982

Order Date: 3/12/2026

Internal Tracking No.: HHSTX-6-0000397225

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 Wichita Falls, TX 76308

NOTE TO CONTRACTOR: ATTN.: Mary Brothers Phone: 940-689-5536 Email: mary.brothers@hhs.texas.gov

Warehouse: Please deliver to Bldg. 506 - Charlie Henderson

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

Leslie Alexander leslie.alexander4@hhs.texas.gov (512) 000-0000

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: 3/26/2026

MPN: OF12332

Manufacturer Name: Bangkit

5 PKG 14.04 $70.20

Purchase Order PO No. 26213982

Order Date: 3/12/2026

Internal Tracking No.: HHSTX-6-0000397225

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 62060 62060181005 Lead Refill, 0.5mm. 12 Leads/Tube, 12 Tubes/Box, Plus Freight Order Less Than $25 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 4/13/2026

10 BOX 8.64 $86.40

Total $156.60

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