26214817-2.pdf
PDF 17 KB Posted
- Attached to
- Term TX|785-S1|17419760511|26214817
- Contract number
- 26214817
- Issued by
- Texas
About this file
This is a Purchase Order Change Notice (PO No. 26214817) issued by the Department of State Health Services (DSHS) in Texas, specifically the procurement agency operating under the Texas Comptroller of Public Accounts' Statewide Procurement Division. The contractor is WorkQuest, Inc., located in Austin, Texas. The purchase order was originally dated March 13, 2026, with an internal tracking number of HHSTX-6-0000397409. The buyer is Carlos M. Mojica, and the agency contact is Josephine Briseno. Delivery is to the Laboratory L114 on the second floor at 1100 W 49th Street in Austin, Texas.
The purchase order covers two line items for office and storage supplies: one case of archive storage boxes with removable lids (Letter/Legal size, recycled, 25 boxes per case) manufactured by Georgia Pacific at $90.00 per case, and 36 steno notebooks (Gregg ruled, 6 x 9 inches) manufactured by Bazic at $1.76 each for a total of $63.36. Both items are procured under existing state term contracts (615-S2 and 785-S1 respectively). The purchase order underwent a revision on March 16, 2026, during which the quantity and unit price of Line 1 were temporarily changed from 1 case at $90.00 to 8 cases at $85.00 per case, then reverted back to the original quantities and pricing. The total order amount is $153.36, and the state is exempt from sales and excise taxes under Texas Tax Code Section 151.309(4).
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Text version
Purchase Order Change Notice 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:
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
3/13/2026-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
3/16/2026-PO#: HHSTX-6-0000397409
AGENCY CONTACT:
Josephine Briseno
Order Date: 3/13/2026
Internal Tracking No.: HHSTX-6-0000397409
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
3/16/2026-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
REVISION HISTORY:
PO Revision #: 2 PO Change Reasons (Aggregated):3/16/2026 9:44 am-Change to Line 1: Quantity has changed from: 1 to: 8
3/16/2026 9:44 am-Change to Line 1: Rate has changed from: 90.00 to: 85.00
3/16/2026 10:01 am-Change to Line 1: Quantity has changed from: 8 to: 1
3/16/2026 10:01 am-Change to Line 1: Line note has changed from: 8 to: 1
3/16/2026 10:01 am-Change to Line 1: Rate has changed from: 85.00 to: 90.00
Order Date: 3/13/2026
Internal Tracking No.: HHSTX-6-0000397409
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/CO-OP Member Purchaser Email Phone
Dept Of State Health Services -
Carlos Mojica carlos.mojica01@hhs.texas.gov (512) 705-1880
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price
Extended Amount
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: Thu Apr 02 2026
00:00:00 GMT-0700 (PDT)
Notes: My apologies for the inconvince, the requester changed their mind and decided they didnt need 8 after all. The original PO was correct.
36 Steno books and 1 archive box.
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: Fri Mar 27 2026
00:00:00 GMT-0700 (PDT)
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 .