26265013-0.pdf
PDF 15 KB Posted
- Attached to
- TX|615-S1|26265013
- Contract number
- 26265013
- Issued by
- Texas
About this file
Purchase Order Summary
This is a Purchase Order (PO No. 26265013) issued by the Department of State Health Services (DSHS), Agency 537, on behalf of the State of Texas to WorkQuest, Inc., a contractor located at 1011 East 53 1/2 Street, Austin, TX 78751. The order was placed on May 18, 2026, with an internal tracking number of 403698. The purchasing contact is Becky Burgess with the HHSC Buyer's office, and the agency contact is Don Penn. The order is subject to Texas sales tax exemptions as it is for exclusive use by the State of Texas.
The purchase order contains two line items totaling $27.45, including freight charges. Line 1 specifies one dozen Magnus Free Ink rollerball pens with 0.5mm black tips (part number 62080181001) at a unit price of $15.47 under Contract 620-S1. Line 2 specifies one pack of Rayovac High Energy 824-12K batteries, 12 per pack (MPN 824-12K) at a unit price of $11.98 under Contract 615-S1. Both items are term contracts with a 14-day delivery window, and delivery is scheduled for June 1, 2026. Both line items include freight charges for orders less than $25.
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Text version
Purchase Order PO No. 26265013
Order Date: 5/18/2026
Internal Tracking No.: 403698
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 don penn
(512) 776-6197 1100 W 49th St PO Box 149347 Austin, TX 78756
NOTE TO CONTRACTOR: PO#: 403698
AGENCY CONTACT:
Don Penn (512) 776-6197 don.penn@dshs.texas.gov AP Email: invoices@dshs.texas.gov
HHSC BUYER:
Becky Burgess (512) 406-2619 becky.burgess@hhs.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 -
Becky Burgess Becky.Burgess@hhs.texas.gov (512) 406-2619
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 62080 62080181001 Pen, Rollerball, With Cap, Magnus Free Ink, Plus Freight Order Less Than $25 Attribute 1: 0.5mm Black 62080181001 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 6/1/2026
1 DOZ 15.47 $15.47
Purchase Order PO No. 26265013
Order Date: 5/18/2026
Internal Tracking No.: 403698
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
2 45006 45006100102 Rayovac High Energy 824-12k 12/pack .32lbs/pack.Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 6/1/2026
MPN: 824-12K
Manufacturer Name: Rayovac
1 PACK 11.98 $11.98
Total $27.45
File details come from the government source that posted it. Updated .