26215561-0.pdf

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Attached to
TX|620-S1|26215561
Contract number
26215561
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 26215561) issued by the State of Texas, Health and Human Services Commission (Agency 529), to WorkQuest, Inc., a vendor located at 1011 East 53 1/2 Street, Austin, TX 78751. The order was placed on March 19, 2026, with shipment directed to Angel Martinez at 6101 E. Oltorf Street, Austin, TX 78741. The agency contact is Gloria Rodriguez. The purchase is governed under the State of Texas sales tax exemption as a procurement for exclusive use by a state agency.

The order comprises four line items of office and shipping supplies with a total value of $489.25. Line 1 includes 5 boxes of Avery 5163 shipping labels (2" X 4" white, 10 labels per sheet, 100 sheets per box) at $34.61 per box ($173.05 extended) under Contract 207-S2. Line 2 specifies 10 packages of Skilcraft 3" X 3" yellow self-stick note pads at $13.02 per package ($130.20 extended) under Contract 615-S1. Lines 3 and 4 each order 10 dozen medium blue and fine black rollerball gel ink pens with rubber grips at $9.30 per dozen ($93.00 each) under Contract 620-S1. All items are Term contracts with a 14-day delivery window and an expected delivery date of April 2, 2026, with freight included in the pricing.

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Text version

Purchase Order PO No. 26215561

Order Date: 3/19/2026

Internal Tracking No.: 0000397721

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

Angel Martinez 6101 E. Oltorf Street Austin, TX 78741

NOTE TO CONTRACTOR: Ship to:

Name: Angel Martinez Phone: (512) 437-8988

Agency Contact:

Name: Gloria Rodriguez Phone: 512-437-5021 Email: DDS.TX.S49.AP@ssa.gov

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

Jocelynn Evans Jocelynn.Evans@hhs.texas.gov (512) 717-2524

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 20772 20772502918 Labels, Shipping, Avery 5163, 2" X 4" White, 10 Label/Sheet, 100 Sheet/Box, Freight Included Contract: 207-S2 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 4/2/2026

MPN: 5163

Manufacturer Name: Avery

5 BOX 34.61 $173.05

Purchase Order PO No. 26215561

Order Date: 3/19/2026

Internal Tracking No.: 0000397721

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 61562 61562384000 Self Stick Note Pad, 3" X 3", Yellow, 100 Sheets/Pad, 12 Pads/Pkg, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 4/2/2026

MPN: 61562384000

Manufacturer Name: Skilcraft

10 PKG 13.02 $130.20

3 62080 62080220106 Pen, Rollerball, Gel Ink, Retractable, Rubber Grip, General Use, Plus Freight Order Less Than $25 A t t r i b u t e 1 : M e d i u m Blue-62080220205 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 4/2/2026

10 DOZ 9.30 $93.00

4 62080 62080220106 Pen, Rollerball, Gel Ink, Retractable, Rubber Grip, General Use, Plus Freight Order Less Than $25 Attribute 1: Fine Black- 62080220122 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 4/2/2026

10 DOZ 9.30 $93.00

Total $489.25

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