26245769-0.pdf

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Attached to
TX|615-S1|26245769
Contract number
26245769
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 26245769) issued by the State of Texas, Department of State Health Services (Agency 537), to WorkQuest, Inc., a contractor based in Austin, Texas. The order was placed on April 27, 2026, with an internal tracking number 0000401542. The purchaser is Lindsey De La Rosa, and the shipping contact is Saleha Mehr. The order is exempt from sales tax under Texas Tax Code Section 151.309(4) as it is for exclusive use by the State of Texas.

The purchase order covers two line items of office supplies from the 615-S1 term contract: 12 legal pads (white, 8-1/2" x 11-3/4") manufactured by Bazic at $2.01 each ($24.12 extended price) and one package of junior-size legal ruled pads (5" x 8") manufactured by Bangkit at $14.04. Both items have a 14-day delivery timeframe with an expected delivery date of May 11, 2026. The total order value is $38.16. Freight charges are applicable to both items as the order total falls below the $25 minimum threshold for freight-free orders.

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Text version

Purchase Order PO No. 26245769

Order Date: 4/27/2026

Internal Tracking No.: 0000401542

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

Saleha Mehr

(512) 945-1354 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: PO#: 0000401542

AGENCY CONTACT/SHIP ATTN:

Saleha Mehr Saleha.Mehr@dshs.texas.gov

HHS PURCHASER:

Lindsey De La Rosa lindsey.delarosa@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 -

Lindsey- De-La-Rosa- lindsey.delarosa@hhs.texas.gov (512) 294-3627

Purchase Order PO No. 26245769

Order Date: 4/27/2026

Internal Tracking No.: 0000401542

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61562 61562500001 Legal Pad, White, 8-1/2" X 11-3/4".

Order in multiples of 12. Freight is added to orders less than $25.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 5/11/2026

MPN: 598

Manufacturer Name: Bazic

12 EACH 2.01 $24.12

2 61562 61562351001 Legal Ruled, Junior Size 5" X 8" White Micro Perforated Pad. 50 Sheet Pad. Freight Is Added To Orders Less Than $25.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 5/11/2026

MPN: OF12332

Manufacturer Name: Bangkit

1 PKG 14.04 $14.04

Total $38.16

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