26258738-0.pdf

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Attached to
TX|620-S1|26258738
Contract number
26258738
Issued by
Texas

About this file

Purchase Order Summary

This is a purchase order (PO No. 26258738) 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 30, 2026, with an internal tracking number of 0000401839. The purchaser is Lindsey De La Rosa of the HHS Procurement office, and the shipment is directed to Anne Layton at 1111 W North Loop, Austin, Texas 78756. The State of Texas claims exemption from Federal Excise Taxes and State and City Sales Taxes under Texas Tax Code Section 151.309(4) for this purchase of tangible personal property.

The purchase order encompasses four line items of office supplies totaling $254.10: 60 units of Bazic white legal pads (8-1/2" x 11-3/4") at $2.01 each for $120.60; 5 packages of yellow self-stick note pads (3" x 5", 100 sheets per pad) at $16.17 per package for $80.85; 5 dozen medium black gel ink retractable pens with rubber grip at $9.30 per dozen for $46.50; and 1 package of assorted dry-erase markers (chisel tip, 4 each per package) at $6.15 for $6.15. All items are referenced under term contracts (615-S1 and 620-S1) with a standard delivery timeframe of 14 days and an expected delivery date of May 14, 2026.

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Text version

Purchase Order PO No. 26258738

Order Date: 4/30/2026

Internal Tracking No.: 0000401839

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

Anne Layton

(713) 218-7986 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: PO#:0000401839

AGENCY CONTACT/SHIP ATTN:

Anne Layton Anne.Layton@dshs.texas.gov 713-218-7986

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. 26258738

Order Date: 4/30/2026

Internal Tracking No.: 0000401839

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: 5/14/2026

MPN: 598

Manufacturer Name: Bazic

60 EACH 2.01 $120.60

2 61562 61562384315 Self Stick Note Pad, 3" X 5", 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: 5/14/2026

MPN: MMM559YW

5 PKG 16.17 $80.85

3 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: 5/14/2026

5 DOZ 9.30 $46.50

4 62086 62086509247 Markers, Dry Erase, Chisel Tip, Assorted Black, Blue, Green, Red, 4 Each/Pkg, Plus Freight Order Less Than $25 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 5/14/2026

1 PKG 6.15 $6.15

Total $254.10

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