26241420-0.pdf
PDF 16 KB Posted
- Attached to
- TX|620-S1|26241420
- Contract number
- 26241420
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 26241420) issued by the State of Texas, Department of State Health Services (Agency 537), to WorkQuest, Inc., a vendor located in Austin, Texas. The order was placed on April 16, 2026, with an internal tracking number of 0000400699. The purchasing agent is Nicole Smith from the CTCD division, with Doris Gonzales serving as the agency contact. The order is billed to the Fiscal Division/Accounts Payable in Austin and shipped to Doris Gonzales at 1111 W North Loop, Austin, Texas.
The purchase order contains three line items for office supplies totaling $165.75. Line 1 covers 10 dozen medium black rollerball gel ink pens with rubber grips (extended price $93.00), scheduled for delivery by April 30, 2026. Lines 2 and 3 specify 2-in-1 stylus pens manufactured by West Texas Lighthouse, with 3 dozen in black (extended price $43.65) and 2 dozen in blue (extended price $29.10), both scheduled for delivery by April 23, 2026. All items are sourced under Contract 620-S1, a term contract. The State of Texas claims exemption from state and city sales taxes as the purchaser of tangible personal property for official use. Invoices should be submitted to invoices@dshs.texas.gov per 34 TAC §20.487.
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Text version
Purchase Order PO No. 26241420
Order Date: 4/16/2026
Internal Tracking No.: 0000400699
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
Doris Gonzales
(512) 776-2039 1111 W North Loop Austin, TX 78756
NOTE TO CONTRACTOR: PO#: 0000400699
AGENCY CONTACT:
Doris Gonzales doris.gonzales@dshs.texas.gov
HHSC BUYER:
Nicole Smith, CTCD, CTCM Nicole.Smith1@hhs.texas.gov
AP Email: invoices@dshs.texas.gov
Invoice per 34 TAC §20.487, amended effective 5-1-22
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 -
Nicole Smith Nicole.Smith1@hhs.texas.gov (512) 776-2039
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 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 Black-62080220106 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 4/30/2026
10 DOZ 9.30 $93.00
Purchase Order PO No. 26241420
Order Date: 4/16/2026
Internal Tracking No.: 0000400699
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
2 62080 62080041001 2 In 1 Stylus Pen; Pen With Stylus Tip; Freight Is Added To Orders Less Than $25 Attribute 1: BLACK Contract: 620-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 4/23/2026
MPN: PNA-4952
Manufacturer Name: West Texas Lighthouse
3 DOZ 14.55 $43.65
3 62080 62080041001 2 In 1 Stylus Pen; Pen With Stylus Tip; Freight Is Added To Orders Less Than $25 Attribute 1: BLUE Contract: 620-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 4/23/2026
MPN: PNA-4952
Manufacturer Name: West Texas Lighthouse
2 DOZ 14.55 $29.10
Total $165.75
File details come from the government source that posted it. Updated .