26216384-0.pdf
PDF 15 KB Posted
- Attached to
- TX|615-S1|26216384
- Contract number
- 26216384
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26216384) issued by the State of Texas, Department of State Health Services (DSHS), Agency 537, on March 20, 2026. The purchasing agent is Carlos M Mojica, CTCD, CTCM, with agency contact Amethyst Jones. The contractor is WorkQuest, Inc., located at 1011 East 53 1/2 Street, Austin, TX 78751. Delivery is scheduled to 1111 W North Loop, Austin, TX 78756. The purchase order references internal tracking number HHSTX-6-0000397971 and indicates billing to MC: 3063 at 1100 West 49th Street, Austin TX 78756.
The order comprises two line items of office supplies with a total contract value of $169.65. Line 1 specifies three cases of recycled white bond paper (#4, 20 lb., Letter size) manufactured by Fort Worth Lighthouse at $46.85 per case ($140.55 extended price), under Contract 645-S1 with a delivery date of April 9, 2026. Line 2 specifies ten packs of mini correction tape (3-pack) manufactured by Skilcraft at $2.91 per pack ($29.10 extended price), under Contract 615-S1 with a delivery date of April 3, 2026. Both items are term contracts with freight included. The State of Texas claims exemption from sales and Federal Excise Taxes per Texas Tax Code Section 151.309(4).
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Text version
Purchase Order PO No. 26216384
Order Date: 3/20/2026
Internal Tracking No.: HHSTX-6-0000397971
Contractor Info Bill To Ship To WorkQuest, Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
1100 West 49th Street
MC: 3063
Austin TX 78756
1111 W North Loop Austin, TX 78756
NOTE TO CONTRACTOR: PO#: HHSTX-6-0000397971
AGENCY CONTACT:
Amethyst Jones Amethyst.Jones@dshs.texas.gov
HHSC BUYER:
Carlos M Mojica, CTCD,CTCM Carlos.mojica01@hhs.texas.gov
DELIVERY:
1111 W North Loop Austin TX 78756
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. 26216384
Order Date: 3/20/2026
Internal Tracking No.: HHSTX-6-0000397971
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 64521 64521412101 Paper, Bond, Recycled, White, #4, 20 lb., Letter; Freight Included Contract: 645-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 4/9/2026
MPN: 412101
Manufacturer Name: Fort Worth Lighthouse
3 CASE 46.85 $140.55
2 61529 61529670100 Mini Correction Tape - 3pack, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 4/3/2026
MPN: 61529670100
Manufacturer Name: Skilcraft
10 PACK 2.91 $29.10
Total $169.65
File details come from the government source that posted it. Updated .