26297037-0.pdf

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Attached to
TX|615-S1|26297037
Contract number
26297037
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 26297037) issued by the State of Texas, Department of State Health Services (Agency 537), on July 13, 2026. The ordering entity is represented by purchaser Debra Burns, with the fiscal division/accounts payable located in Austin, Texas. The contractor is WorkQuest, Inc., a supplier based in Austin, Texas. The purchase order directs shipment to the DSHS facility located at 1301 S Bowen Road, Suite 200, Arlington, Texas 76013, with Samuel J. Savala designated as the receiving contact.

The order is for 240 yellow legal pads (8-1/2" x 11-3/4") manufactured by Bazic (MPN: 00597), procured under Term Contract 615-S1. The unit price is $2.64 per pad, with a total order value of $633.60, including freight. The items must be ordered in multiples of 12 and are scheduled for delivery by July 27, 2026 (14 days ARO). The State of Texas claims a sales tax exemption under Texas Tax Code Section 151.309(4). Invoicing should be directed to invoices@dshs.texas.gov, and a packing list showing the PO number and attention contact information is required for shipment.

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Text version

Purchase Order PO No. 26297037

Order Date: 7/13/2026

Internal Tracking No.: 0000408931

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

PO BOX 149347

Fiscal Division/Accounts Payable

AUSTIN TX 78714-9347

ATTN Savala,Samuel J

(817) 264-4502

DSHS-1301 S BOWEN RD STE 200

ARLINGTON, TX 76013

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000408931 AND ATTN CONTACT INFO *** SHIP TO ATTN Savala,Samuel J 817-264-4502 samuel.savala@dshs.texas.gov ****SEND INVOICE TO invoices@dshs.texas.gov

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 -

Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564

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: 7/27/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Savala,Samuel J 8 1 7 - 2 6 4 - 4 5 0 2 samuel.savala@dshs.texas.gov 1301 S Bowen Rd Ste 200 Arlington

TX 76013

MPN: 00597

Manufacturer Name: Bazic

240 EACH 2.64 $633.60

Purchase Order PO No. 26297037

Order Date: 7/13/2026

Internal Tracking No.: 0000408931

Total $633.60

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