26263678-0.pdf
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- Attached to
- TX|615-S1|26263678
- Contract number
- 26263678
- Issued by
- Texas
About this file
Purchase Order Summary
This is a Purchase Order (PO No. 26263678) issued by the State of Texas, Department of State Health Services (Agency 537), on May 7, 2026. The ordering agency is represented by purchaser Maricella Duran, with Laura Benson designated as the agency contact. The contractor is WorkQuest, Inc., located at 1011 East 53 1/2 Street, Austin, TX 78751. Delivery is specified to 1100 W. 49th Street, Suite G203.01, Austin, TX 78756. The purchase order is exempt from Texas state and city sales taxes under Texas Tax Code Section 151.309(4).
The order consists of five line items for self-stick note pads sourced under Contract 615-S1 (Term Contract), with manufacturers including 3M and Skilcraft. Line items include 3" x 3" yellow fan fold refill pads (2 packs at $10.79 unit price); 4" x 6" yellow lined pads (2 packs at $12.60); 4" x 6" neon lined pads (2 packs at $14.47); 1.5" x 2" yellow pads (2 packages at $4.80); and 3" x 3" yellow pads (3 packages at $13.02). All items are scheduled for delivery within 14 days, with an expected delivery date of May 21, 2026. The total purchase order value is $124.38. Invoicing instructions require submission per 34 TAC §20.487 (amended May 1, 2022) to invoices@dshs.texas.gov.
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Text version
Purchase Order PO No. 26263678
Order Date: 5/7/2026
Internal Tracking No.: 0000402385
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
Laura Benson
(512) 776-7520 1100 W. 49th Street Suite G203.01 Austin, TX 78756 Please Deliver to Suite G203.01
Email: Laura.Benson@dshs.texas.gov
NOTE TO CONTRACTOR: AGENCY CONTACT:
Name: Laura Benson Email: Laura.Benson@dshs.texas.gov Number: 512/776-7520
AP Email: invoices@dshs.texas.gov
Invoice per 34 TAC §20.487, amended effective May 1, 2022
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 -
Maricella Duran maricella.duran@hhs.texas.gov (512) 000-0000
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: 5/21/2026
MPN: 61562383602
Manufacturer Name: 3M
2 PACK 10.79 $21.58
Purchase Order PO No. 26263678
Order Date: 5/7/2026
Internal Tracking No.: 0000402385
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: 5/21/2026
MPN: MMM6605SSCY
Manufacturer Name: 3M
2 PACK 12.60 $25.20
3 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: 5/21/2026 MPN: MMM6605SSCYneon Manufacturer Name: 3M
2 PACK 14.47 $28.94
4 61562 61562381501 Note Pad, Self Stick, 1.5" x 2", Yellow, 100 Sheets/Pad, 12 Pads/Pkg, Plus Freight Less Than 12 Pkg Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 5/21/2026
MPN: 61562381501
Manufacturer Name: Skilcraft
2 PKG 4.80 $9.60
5 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: 5/21/2026
MPN: 61562384000
Manufacturer Name: Skilcraft
3 PKG 13.02 $39.06
Total $124.38
File details come from the government source that posted it. Updated .