26268754-0.pdf

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Attached to
TX|615-S1|26268754
Contract number
26268754
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 26268754) issued by the State of Texas Department of State Health Services on June 10, 2026. The order is placed with WorkQuest, Inc., a contractor located in Austin, Texas. The Health & Human Services Commission (Agency 529) processed the purchase through the Statewide Procurement Division. The order will be shipped to the Terrell SH Warehouse in Terrell, Texas, with billing and agency contact handled through the Department of State Health Services office in Wichita Falls, Texas.

The purchase order contains two line items totaling $153.03. Line 1 specifies 5 units of Flash Drive 32GB USB 3.0 devices (Northlake model PMS-PURPLE C) at $24.99 each ($124.95 extended price) under Contract 204-S1 with a 10-day delivery window and expected delivery date of June 22, 2026. Line 2 specifies 2 packages of Legal Ruled, Junior Size 5" X 8" White Micro Perforated Pads (Bangkit model OF12332) at $14.04 each ($28.08 extended price) under Contract 615-S1 with a 14-day delivery window and expected delivery date of June 24, 2026. Both items include freight. The State of Texas claims exemption from all Federal Excise Taxes and state and city sales taxes under Texas Tax Code Section 151.309(4).

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Text version

Purchase Order PO No. 26268754

Order Date: 6/10/2026

Internal Tracking No.: 0000406203

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

Terrell SH Whse 1200 E Brin

TERRELL TX 75160

DEPARTMENT OF STATE HEALTH SERVICES

Mary Catherine Brothers

(940) 689-5536 6515 Kemp Blvd

PO BOX 300

Wichita Falls, TX 76308

NOTE TO CONTRACTOR: PO#: CAPPS FIN PO#0000406203

AGENCY CONTACT:

Mary Catherine Brothers 940-689-5536 mary.brothers@hhs.texas.gov

AP Email:HHSCTSHAccounting@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

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 20432 20432220004 Flash Drive 32GB USB 3.0; Freight Included Contract: 204-S1 Contract Type: Term Delivery ARO (days): 10 Delivery Date: 6/22/2026

MPN: PMS-PURPLE C

Manufacturer Name: Northlake

5 EACH 24.99 $124.95

Purchase Order PO No. 26268754

Order Date: 6/10/2026

Internal Tracking No.: 0000406203

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 61562 61562351001 Legal Ruled, Junior Size 5" X 8" White Micro Perforated Pad. 50 Sheet Pad. Freight Is Added To Orders Less Than $25.

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

MPN: OF12332

Manufacturer Name: Bangkit

2 PKG 14.04 $28.08

Total $153.03

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