26266557-0.pdf

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Attached to
TX|620-S1|26266557
Contract number
26266557
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 26266557) issued by the State of Texas Health & Human Services Commission (Agency 529) to WorkQuest, Inc., dated May 26, 2026. The order was placed by HHSC Buyer Nicole Smith and will be shipped to the Richmond SSLC Warehouse in Richmond, Texas, with billing directed to the Brenham SSLC location. The purchase is subject to Texas sales and use tax exemption as it is for exclusive use by the State of Texas.

The purchase order encompasses two line items totaling $172.34: five packs of Self Stick Note Pads (4" x 6", Neon, Lined, 100 Sheets/Pad) manufactured by 3M at $14.47 per pack ($72.35 extended price) under Contract 615-S1, and eleven sets of Dry Erase Organizer Trays with 6 Chisel Tip markers and erasers manufactured by Skilcraft at $9.09 per set ($99.99 extended price) under Contract 620-S1. Both items are being procured under term contracts with a 14-day delivery timeframe, scheduled for delivery on June 9, 2026. Both line items include freight for orders less than $25.

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Text version

Purchase Order PO No. 26266557

Order Date: 5/26/2026

Internal Tracking No.: 0000404425

Contractor Info Bill To Ship To WorkQuest, Inc.

17419760511 1011 East 53 1/2 Street Austin, TX 78751

(512) 451-8145

Brenham SSLC 4001 Highway 36 South Brenham TX 77833

DIANA DOCKAL

(281) 344-4277 Richmond SSLC Whse 2100 Preston Richmond, TX 77469

NOTE TO CONTRACTOR: PO#: 0000404425

AGENCY CONTACT:

RSSLC SME: Diana Dockal Email: diana.dockal@hhs.texas.gov Phone: 281-344-4427

HHSC BUYER:

Nicole Smith, CTCD, CTCM Nicole.Smith1@hhs.texas.gov

AP Email: 712Accounting@hhs.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

Health & Human Services Commission - 529

Nicole Smith Nicole.Smith1@hhs.texas.gov (512) 111-1111

Purchase Order PO No. 26266557

Order Date: 5/26/2026

Internal Tracking No.: 0000404425

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 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: 6/9/2026 MPN: MMM6605SSCYneon Manufacturer Name: 3M

5 PACK 14.47 $72.35

2 62086 62086509213 Dry Erase Organizer Tray, 6 Chisel Tip, Eraser, Plus Freight Order Less Than $25 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 6/9/2026

MPN: 62086509213

Manufacturer Name: Skilcraft

11 SET 9.09 $99.99

Total $172.34

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