26263808-0.pdf
PDF 15 KB Posted
- Attached to
- TX|615-S1|26263808
- Contract number
- 26263808
- Issued by
- Texas
About this file
Purchase Order Summary
This is a Purchase Order (PO No. 26263808) issued by the Texas Department of State Health Services (DSHS), Agency 537, on May 8, 2026. The order is placed with WorkQuest, Inc., a contractor located at 1011 East 53 1/2 Street, Austin, TX 78751. The purchasing agent is Nicole Smith from the CTCD/CTCM division, with agency contact Kaley Dzienowski serving as the primary point of contact. Invoices are to be submitted to the DSHS Accounts Payable division at invoices@dshs.texas.gov in accordance with 34 TAC §20.487.
The purchase order covers 27 dozen Zebra Sarasa retractable gel ink pens with rubber grip and .7mm medium point in blue (MPN: 46810D) under Contract 615-S1, a term contract. The unit price is $10.50 per dozen, resulting in a total extended price of $283.50. The order includes freight for orders less than $25. Delivery is scheduled for May 22, 2026, with an agreed-upon ARO (Acknowledgment and Receipt Order) of 14 days. The State of Texas claims exemption from all applicable sales and excise taxes under Texas Tax Code Section 151.309(4).
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Text version
Purchase Order PO No. 26263808
Order Date: 5/8/2026
Internal Tracking No.: 0000402355
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
Kaley Dzienowski
(737) 867-6138 1111 W North Loop Austin, TX 78756
NOTE TO CONTRACTOR: PO#: 0000402355
AGENCY CONTACT:
Kaley Dzienowski kaley.dzienowski@dshs.texas.gov
(737) 867-6138
HHSC BUYER:
Nicole Smith, CTCD, CTCM Nicole.Smith1@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 -
Nicole Smith Nicole.Smith1@hhs.texas.gov (512) 776-2039
Purchase Order PO No. 26263808
Order Date: 5/8/2026
Internal Tracking No.: 0000402355
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 62080 62080231100 Pen, Retractable, Gel Ink, Rubber Grip, .7Mm Medium Point, Zebra Sarasa, Plus Freight Order Less Than $25 Attribute 1: BLUE Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 5/22/2026
MPN: 46810D
Manufacturer Name: Zebra
27 DOZ 10.50 $283.50
Total $283.50
File details come from the government source that posted it. Updated .