26267955-0.pdf
PDF 17 KB Posted
- Attached to
- TX|620-S1|26267955
- Contract number
- 26267955
- Issued by
- Texas
About this file
Purchase Order Summary
This Purchase Order No. 26267955, dated June 4, 2026, is issued by the State of Texas Department of State Health Services (Agency 537) to WorkQuest, Inc., a contractor located in Austin, Texas. The order includes a Bill To address at 1100 West 49th Street, Austin, TX 78756 (MC: 3063) and a Ship To address for Laura Ryon at 1111 W North Loop, Austin, TX 78756. The HHS Purchaser is Lindsey De La Rosa, with the Internal Tracking Number 0000405561. The State of Texas is exempt from Federal Excise Taxes and sales taxes under Texas Tax Code Section 151.309(4).
The Purchase Order encompasses seven line items totaling $305.05 for office supply commodities, including legal pads (12 each at $2.64 per unit), recycled white bond paper (2 cartons at $78.25 per carton), self-stick note pads (3 packs at $10.79 per pack), and various gel ink and rollerball pens in black and blue colors (quantities ranging from 1 to 3 dozen, priced between $9.30 and $14.35 per unit). All items are procured under existing term contracts (615-S1, 645-S1, and 620-S1) with delivery dates ranging from June 18, 2026 to June 24, 2026, with delivery ARO (Acknowledge Receipt Only) periods of 14 to 20 days. Freight is included in all quoted prices, and invoicing must comply with 34 TAC §20.487, amended effective May 1, 2022.
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Text version
Purchase Order PO No. 26267955
Order Date: 6/4/2026
Internal Tracking No.: 0000405561
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 Ryon
(512) 776-7770 1111 W North Loop Austin, TX 78756
NOTE TO CONTRACTOR: PO#: 0000405561
AGENCY CONTACT/SHIP ATN:
Laura Ryon
(512) 776-7770 laura.ryon@dshs.texas.gov
HHS PURCHASER:
Lindsey De La Rosa lindsey.delarosa@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 -
Lindsey- De-La-Rosa- lindsey.delarosa@hhs.texas.gov (512) 294-3627
Order Date: 6/4/2026
Internal Tracking No.: 0000405561
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 61562 61562500002 Legal Pad, Yellow, 8-1/2" X 11-3/4", Order In Multiples Of 12. Freight Is Included.
Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 6/18/2026
MPN: 00597
Manufacturer Name: Bazic
12 EACH 2.64 $31.68
2 64521 64521411718 Paper, Bond, Recycled, White, Premium No. 4, 20 Lb., 8-1/2" X 11", 500 Sheets/Pkg, 10 Pkgs/Crtn, Freight Included. Qty Price Breaks At 10, 40, 200, 400, And 800 Cartons.
Contract: 645-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 6/24/2026 Manufacturer Name: Skilcraft
2 CRTN 78.25 $156.50
3 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: 6/18/2026
MPN: 61562383602
Manufacturer Name: 3M
3 PACK 10.79 $32.37
4 62080 62080220106 Pen, Rollerball, Gel Ink, Retractable, Rubber Grip, General Use, Plus Freight Order Less Than $25 A t t r i b u t e 1 : M e d i u m Black-62080220106 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 6/18/2026
3 DOZ 9.30 $27.90
5 62080 62080190267 Pen, Gel Ink, Medium Point, Rubber Grip, Gr8/Sarasa Dry X10, Plus Freight Order Less Than $25 Attribute 1: Black-62080190267 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 6/18/2026
1 DOZ 14.35 $14.35
Order Date: 6/4/2026
Internal Tracking No.: 0000405561
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
6 62080 62080220106 Pen, Rollerball, Gel Ink, Retractable, Rubber Grip, General Use, Plus Freight Order Less Than $25 A t t r i b u t e 1 : M e d i u m Blue-62080220205 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 6/18/2026
3 DOZ 9.30 $27.90
7 62080 62080190267 Pen, Gel Ink, Medium Point, Rubber Grip, Gr8/Sarasa Dry X10, Plus Freight Order Less Than $25 Attribute 1: Blue-62080190564 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 6/18/2026
1 DOZ 14.35 $14.35
Total $305.05
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