26245013-0.pdf

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Attached to
TX|207-S2|26245013
Contract number
26245013
Issued by
Texas

About this file

Purchase Order 26245013 is issued by the Texas Department of State Health Services (Dept of State Health Services - 537) to WorkQuest, Inc., a vendor located at 1011 East 53 1/2 Street, Austin, Texas 78751. The purchase order is dated April 24, 2026, with an internal tracking number 0000401382. The goods will be shipped to Terri Latrice Lemuel at 1111 W North Loop, Austin, Texas 78756, with invoicing directed to invoices@dshs.texas.gov. The State of Texas claims exemption from state and city sales taxes under Texas Tax Code Section 151.309(4).

The purchase order encompasses six line items totaling $2,218.24 for office supplies, including self-stick note pads in various sizes and colors (3" x 3" yellow and 4" x 6" yellow and neon styles), bond paper (50 cases of virgin white #4, 20 lb. letter-size), gel ink pens (2 dozen medium black), and address labels (5 boxes of Avery 5162 labels). Items are sourced from manufacturers including 3M, Fort Worth Lighthouse, and Avery. Delivery dates range from May 8, 2026 to May 14, 2026, with standard delivery ARO (Agreed Response Order) periods of 14 to 20 days. All items are procured under existing term contracts (615-S1, 645-S1, 620-S1, and 207-S2). A packing list showing the PO number and contact information is required with shipment.

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Text version

Purchase Order PO No. 26245013

Order Date: 4/24/2026

Internal Tracking No.: 0000401382

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

ATTN Lemuel,Terri Latrice

(737) 255-4482

1111 W NORTH LOOP

Austin, TX 78756 Location: G0106A1 347-448-3190 X46608

NOTE TO CONTRACTOR: **PACKING LIST REQUIRED TO SHOW PO NUMBER 0000401382 AND ATTN CONTACT INFO *** SHIP TO ATTN Lemuel,Terri Latrice 347-448-3190 X46608 737-255-4482 terri.lemuel@dshs.texas.gov Location: G0106A1 ***SEND INVOICE TO invoices@dshs.texas.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

Dept Of State Health Services -

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 61562 61562383602 Self Stick Note Pad, 3" x 3", Yellow, Fan fold refill, 100 Sheets/Pad, 12 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 5/8/2026 Notes: **PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Lemuel,Terri Latrice 347-448-3190 X46608 737-255-4482 terri.lemuel@dshs.texas.gov Location: G0106A1

MPN: 61562383602

Manufacturer Name: 3M

3 PACK 10.79 $32.37

Order Date: 4/24/2026

Internal Tracking No.: 0000401382

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 61562 61562385602 Self Stick Note Pad, 4" X 6", Yellow, Lined,100 Sheets/Pad, 6 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 5/8/2026 Notes: **PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Lemuel,Terri Latrice 347-448-3190 X46608 737-255-4482 terri.lemuel@dshs.texas.gov Location: G0106A1

MPN: MMM6605SSCY

Manufacturer Name: 3M

2 PACK 12.60 $25.20

3 64521 64521350201 Paper, Bond, Virgin, White, #4, 20 lb., Letter, Freight Included Contract: 645-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 5/14/2026 Notes: **PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Lemuel,Terri Latrice 347-448-3190 X46608 737-255-4482 terri.lemuel@dshs.texas.gov Location: G0106A1

MPN: 350201

Manufacturer Name: Fort Worth Lighthouse

50 CASE 39.21 $1,960.50

4 61562 61562385601 Self Stick Note Pad, 4" X 6", Neon, Lined,100 Sheets/Pad, 6 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 5/8/2026 Notes: **PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Lemuel,Terri Latrice 347-448-3190 X46608 737-255-4482 terri.lemuel@dshs.texas.gov Location: G0106A1 MPN: MMM6605SSCYneon Manufacturer Name: 3M

1 PACK 14.47 $14.47

Order Date: 4/24/2026

Internal Tracking No.: 0000401382

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

5 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: 5/8/2026 Notes: **PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Lemuel,Terri Latrice 347-448-3190 X46608 737-255-4482 terri.lemuel@dshs.texas.gov Location: G0106A1

2 DOZ 9.30 $18.60

6 20772 20772502652 Labels, Address, Avery 5162, 1-1/3" X 4" White, 14 Labels/Sheet, 100 Sheet/Box, Freight Included Contract: 207-S2 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 5/8/2026 Notes: **PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Lemuel,Terri Latrice 347-448-3190 X46608 737-255-4482 terri.lemuel@dshs.texas.gov Location: G0106A1

MPN: 5162

Manufacturer Name: Avery

5 BOX 33.42 $167.10

Total $2,218.24

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