26259513-0.pdf

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Attached to
TX|615-S1|26259513
Contract number
26259513
Issued by
Texas

About this file

This is a Purchase Order (PO No. 26259513) issued by the State of Texas, Department of State Health Services (DSHS), Agency 537, on May 6, 2026. The ordering agency is represented by buyer Marissa Olvera (CTCD, CTCM), while the contractor is WorkQuest, Inc., located at 1011 East 53 1/2 Street, Austin, TX 78751. The order is to be shipped to Patricia Louise Cortez at 1111 W North Loop, Austin, TX 78756, with invoices directed to the Fiscal Division/Accounts Payable office. The State of Texas claims exemption from all applicable state, city, and federal excise taxes under Texas Tax Code Section 151.309(4).

The purchase order covers two items of office supplies, both pens, with a combined total value of $19.96. Line 1 specifies one dozen (.7MM Medium Point Retractable Refillable Gel Ink pens in blue at $9.46, issued under Contract 620-S1 with a 14-day delivery timeframe and expected delivery date of May 20, 2026. Line 2 specifies one dozen Zebra Sarasa retractable gel ink pens with rubber grip in black (MPN 46810D) at $10.50, issued under Contract 615-S1 with identical delivery terms. Both line items are designated as term contracts with orders less than $25 and include freight charges.

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Text version

Purchase Order PO No. 26259513

Order Date: 5/6/2026

Internal Tracking No.: 0000401999

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

Patricia Cortez

(512) 776-7376 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: PO#: 0000401999

AGENCY CONTACT:

Patricia Louise Cortez 512-776-7376 patsy.cortez@dshs.texas.gov

Ship To: Patricia Louise Cortez 1111 W North Loop Austin TX 78756

HHSC BUYER:

Marissa Olvera CTCD, CTCM marissa.olvera1@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 -

Marissa Olvera marissa.olvera1@hhs.texas.gov (512) 776-3309

Purchase Order PO No. 26259513

Order Date: 5/6/2026

Internal Tracking No.: 0000401999

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62080 62080100017 Pen, .7MM Medium Point , Retractable, Refillable, Gel ink, Plus Freight Order Less Than $25 Attribute 1: Blue Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 5/20/2026

1 DOZ 9.46 $9.46

2 62080 62080231100 Pen, Retractable, Gel Ink, Rubber Grip, .7Mm Medium Point, Zebra Sarasa, Plus Freight Order Less Than $25 Attribute 1: BLACK Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 5/20/2026

MPN: 46810D

Manufacturer Name: Zebra

1 DOZ 10.50 $10.50

Total $19.96

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