26224590-0.pdf
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- Attached to
- TX|620-S1|26224590
- Contract number
- 26224590
- Issued by
- Texas
About this file
Purchase Order Summary
This is a Purchase Order (PO No. 26224590) issued by the Health & Human Services Commission (HHSC), State of Texas on March 27, 2026. The order is placed with WorkQuest, Inc., a vendor located in Austin, Texas. The internal tracking number is 0000398595, with Debra Burns serving as the agency purchaser for HHSC-529.
The purchase order is for 416 dozen antimicrobial retractable ballpoint pens in medium black (Commodity Code 62080100225, Supplier Part # 62080100415) at a unit price of $7.90 per dozen, resulting in an extended price of $3,286.40. The order is placed under Contract 620-S1, classified as a Term contract. The delivery is scheduled for April 10, 2026, with an agreed-upon delivery timeframe of 14 days. Shipment is directed to Jansin Lacey at the HHSC office located at 9011 Tuscany Way, Suite 400, Austin, Texas 78754. The State of Texas claims exemption from sales tax under Texas Tax Code Section 151.309(4). Invoices are to be submitted to HHSCReg07_AP_Purchases@hhsc.state.tx.us, and a packing list showing the PO number and attention contact information is required.
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Text version
Purchase Order PO No. 26224590
Order Date: 3/27/2026
Internal Tracking No.: 0000398595
Contractor Info Bill To Ship To WorkQuest, Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
Attn Accounts payable 4616-1 West Howard Lane Austin TX 78728
ATTN Jansin Lacey
HEALTH & HUMAN SERVICES COMMISSION
9011 Tuscany Way Ste 400 Austin, TX 78754
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000398595 AND ATTN CONTACT INFO *** SHIP TO ATTN Jansin Lacey 512-217-8792 jansin.lacey@hhs.texas.gov REQUESTER Lavadia,Brett 512-832-7622 brett.lavadia@hhs.texas.gov ***SEND INVOICE TO HHSCReg07_AP_Purchases@hhsc.state.tx.us
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
Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 62080 62080100225 Pen, Ballpoint, Retractable, Antimicrobial, Plus Freight Order Less Than $25 At t r ibu te 1 : Med ium B lack 62080100415 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 4/10/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Jansin Lacey 5 1 2 - 2 1 7 - 8 7 9 2 jansin.lacey@hhs.texas.gov REQUESTER Lavadia,Bret t 5 1 2 - 8 3 2 - 7 6 2 2 brett.lavadia@hhs.texas.gov
416 DOZ 7.90 $3,286.40
Purchase Order PO No. 26224590
Order Date: 3/27/2026
Internal Tracking No.: 0000398595
Total $3,286.40
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