26268704-0.pdf

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Attached to
TX|615-S1|26268704
Contract number
26268704
Issued by
Texas

About this file

This purchase order (PO No. 26268704) was issued by the Texas Department of State Health Services on June 10, 2026, to WorkQuest, Inc., a contractor located in Austin, Texas. The order is being delivered to the Department of State Health Services facility in Amarillo, Texas, with Dora T. Reyna serving as the agency contact. The purchase is made under the CAPPS (Cooperative Purchasing Program) framework, and the State of Texas claims a sales tax exemption under Texas Tax Code Section 151.309(4).

The purchase order covers three office supply items under Contract 615-S1, a term contract with a 14-day delivery window (delivery date of June 24, 2026). The items include 16 packs of Manila File Folders (MPN 17526, manufacturer BSN) at $6.10 per pack for $97.60; 5 packages of Self-Stick Note Pads 1.5" x 2" (MPN 61562381501, manufacturer Skilcraft) at $4.80 per package for $24.00; and 1 carton of Heavy Weight Clear Sheet Protectors (MPN 41203, manufacturer Samsill) at $112.32. The total contract value is $233.92, with all freight charges included in the unit pricing or noted where applicable. Invoices are to be submitted per 34 TAC §20.487 to the accounts payable email address invoices@dshs.texas.gov.

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Text version

Purchase Order PO No. 26268704

Order Date: 6/10/2026

Internal Tracking No.: 0000406169

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

1100 W. 49th Street P.O. Box 149347 Austin TX 78714-9347

DEPARTMENT OF STATE HEALTH SERVICES

Dora T Reyna

(806) 477-1108 Department of State Health Services 3407 Pony Express Way Amarillo, TX 79118 Bldg/Floor/Cubicle: Deliver to South Entrance (Overhead Door)

NOTE TO CONTRACTOR: PO#: CAPPS FIN PO#0000406169

AGENCY CONTACT:

Dora T. Reyna

(806) 477-1108 Dora.reyna@dshs.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 -

Desiree Fowler desiree.fowler@hhs.texas.gov (512) 909-4500

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61543 61543141001 Manila File Folder 24/pack;Freight is added to orders less than$25.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 6/24/2026

MPN: 17526

Manufacturer Name: BSN

16 PACK 6.10 $97.60

Purchase Order PO No. 26268704

Order Date: 6/10/2026

Internal Tracking No.: 0000406169

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 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: 6/24/2026

MPN: 61562381501

Manufacturer Name: Skilcraft

5 PKG 4.80 $24.00

3 61580 61580401002 Sheet Protectors Heavy Weight Clear; Freight Included Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 6/24/2026

MPN: 41203

Manufacturer Name: Samsill

1 CRTN 112.32 $112.32

Total $233.92

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