26245796-0.pdf
PDF 18 KB Posted
- Attached to
- TX|645-S1|26245796
- Contract number
- 26245796
- Issued by
- Texas
About this file
Purchase Order No. 26245796 is issued by the Health & Human Services Commission (Agency 529) of the State of Texas, represented by purchaser George Mills. The order is placed with WorkQuest, Inc., a contractor located in Austin, Texas, for delivery to the Brenham State Supported Living Center in Brenham, Texas. The purchase order was issued on April 28, 2026, with an internal tracking number of 0000401553. Invoices are to be directed to Amber Dallmeyer, Regional Business Manager, at the HHS accounting department.
The purchase order encompasses eight line items totaling $22,310.98, consisting primarily of office and facility supplies sourced through multiple state contracts. Items include soft drink mix (40 cases at $2,123.20), batteries including Rayovac Ultra Pro C-12 and D-12 packs (36 packs totaling $425.28), nitrile examination gloves in medium size (90 cases at $10,836.00), correction tape (90 units at $159.30), self-stick note pads (40 packages at $520.80), ballpoint pens (40 dozens at $242.40), and recycled bond paper (120 cartons at $8,004.00). Delivery dates range from May 5, 2026 to May 28, 2026, with delivery times specified between 7 and 30 days from the order date. The State of Texas is exempt from sales and excise taxes under Texas Tax Code Section 151.309(4).
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Text version
Purchase Order PO No. 26245796
Order Date: 4/28/2026
Internal Tracking No.: 0000401553
Contractor Info Bill To Ship To WorkQuest, Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
Brenham SSLC 4001 Highway 36 South Brenham TX 77833
Whse Supvr Jose Sustaita
(979) 277-1401 Brehnham SSLC Whse 4001 Highway 36 South Brenham, TX 77833
NOTE TO CONTRACTOR: Send Invoices to: Amber Dallmeyer Regional Business Manager 979-277-1307 712accounting@hhs.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
Health & Human Services Commission - 529
George Mills george.mills@hhs.texas.gov (512) 406-2651
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 39333 39333750501 Soft Drink Mix, Sugar Free, Packet Yields 2 Quarts, 24 Packets/CTN, 4 CTN/CS, Freight is added to orders less than 10 cases.
A t t r i b u t e 1 : P i n k - Lemonade-39333754008 Contract: 393-S1 Contract Type: Term Delivery ARO (days): 30 Delivery Date: 5/28/2026
MPN: BVA-1205B
Manufacturer Name: Wyler's
40 CASE 53.08 $2,123.20
Order Date: 4/28/2026
Internal Tracking No.: 0000401553
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
2 45006 45006100104 Rayovac Ultra Pro C-12 Pack, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 5/12/2026
MPN: ALC-12PPJ
Manufacturer Name: Rayovac
24 PACK 10.48 $251.52
3 45006 45006100106 Rayovac Ultra Pro D-12 PackPlus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 5/12/2026
MPN: ALD-12PPJ
Manufacturer Name: Rayovac
12 PACK 14.48 $173.76
4 47541 47541481059 Glove, Nitrile Examination, Powder/Latex Free, 9"L, Blue; Case Qty. ; 100 Gloves/Box; 10 Boxes/Case. Freight Included Attribute 1: Medium Contract: 475-S1 Contract Type: Term Delivery ARO (days): 7 Delivery Date: 5/5/2026
MPN: 807
Manufacturer Name: WTLB
90 CASE 120.40 $10,836.00
5 61529 61529301006 Correction Tape,Standard Tip, White, Single Line, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 5/12/2026
MPN: 61529301006
Manufacturer Name: SkillcraftSkillcraft
90 EACH 1.77 $159.30
6 61562 61562384000 Self Stick Note Pad, 3" X 3", Yellow, 100 Sheets/Pad, 12 Pads/Pkg, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 5/12/2026
MPN: 61562384000
Manufacturer Name: Skilcraft
40 PKG 13.02 $520.80
Order Date: 4/28/2026
Internal Tracking No.: 0000401553
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
7 62080 62080171002 Pen, Ballpoint, Retractable, Soft Grip, Rocket Ez, Plus Freight Order Less Than $25 At t r ibu te 1 : Med ium B lack 62080172000 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 10 Delivery Date: 5/8/2026
40 DOZ 6.06 $242.40
8 64521 64521411716 Paper, Bond, Recycled, White, Premium No. 4, 20 lb., 8-1/2" x 11", 500 Sheets/Pkg, 10 Pkgs/Crtn, Freight Included. Qty Price Breaks At 10, 40, 200, 400, And 800 Cartons.
Contract: 645-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 5/18/2026 Manufacturer Name: Skilcraft
120 CRTN 66.70 $8,004.00
Total $22,310.98
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