26214817-0.pdf

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Attached to
Term TX|785-S1|17419760511|26214817
Contract number
26214817
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26214817) issued by the State of Texas Department of State Health Services on March 13, 2026, to WorkQuest, Inc., a contractor located in Austin, Texas. The order is managed through the Texas Comptroller of Public Accounts Statewide Procurement Division, with Carlos M Mojica serving as the HHSC Buyer and Josephine Briseno as the Agency Contact. Delivery is designated to Laboratory L114 (2nd Floor) at 1100 W 49th Street, Austin, Texas.

The purchase order contains two line items with a combined total of $153.36. Line 1 includes one case of Archive Storage Boxes (removable lid, letter/legal, recycled, 25 boxes per case) manufactured by Georgia Pacific under Contract 615-S2, with a unit price of $90.00 and an expected delivery date of April 2, 2026 (20-day ARO). Line 2 consists of 36 Steno Notebooks (Gregg Ruled 6 X 9) manufactured by Bazic under Contract 785-S1 at $1.76 per unit for an extended price of $63.36, with an expected delivery date of March 27, 2026 (14-day ARO). Both items are subject to state and city sales tax exemption under Texas Tax Code Section 151.309(4), as the items are being procured for exclusive use by the State of Texas.

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Text version

Purchase Order PO No. 26214817

Order Date: 3/13/2026

Internal Tracking No.: HHSTX-6-0000397409

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

1100 W 49TH ST

Laboratory L114 FLOOR: 2nd

AUSTIN, TX 78756-3101

NOTE TO CONTRACTOR: PO#: HHSTX-6-0000397409

AGENCY CONTACT:

Josephine Briseno 512-776-7430 Josephine.Briseno@dshs.texas.gov

HHSC BUYER:

Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov

DELIVERY:

1011 East 53 1/2 Street Austin TX 78751

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 -

Carlos Mojica carlos.mojica01@hhs.texas.gov (512) 705-1880

Purchase Order PO No. 26214817

Order Date: 3/13/2026

Internal Tracking No.: HHSTX-6-0000397409

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61537 61537130850-

Box, Archive Storage, Removable Lid, Letter/Legal, Recycled; 25 Boxes/Case - District 14 Contract: 615-S2 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 4/2/2026

MPN: 61537130850

Manufacturer Name: Georgia Pacific

1 CASE 90.00 $90.00

2 78573 78573755714 Steno Notebook, Gregg Ruled 6 X 9;Freight Is Added To Orders Less Than $25 Contract: 785-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 3/27/2026

MPN: 00577

Manufacturer Name: Bazic

36 EACH 1.76 $63.36

Total $153.36

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