26308394-0.pdf

PDF 15 KB Posted Jul 17, 2026

Attached to: TX|620-S1|26308394
Contract number: 26308394
Issued by: Texas

About this file

Written by GovTribe AI · Jul 20, 2026

This is a Purchase Order (PO No. 26308394) issued on July 17, 2026, by the State of Texas Health and Human Services Commission (HHSC), Agency 529, to WorkQuest, Inc., a contractor located in Austin, Texas. The purchasing agent is Debra Burns. The order is being billed and shipped to HHSC's facility in Tyler, Texas, with delivery instructions directed to Darin Adams at the specified location.

The purchase order covers two line items for ballpoint pens under NIGP Code 62080 and Contract 620-S1, a term contract. Line 1 specifies 288 dozen Fine Blue Rocket Ez retractable soft grip pens with a unit price of $6.06 per dozen, totaling $1,745.28. Line 2 specifies 288 dozen Fine Black pens of the same type at the same unit price, totaling $1,745.28. The combined order total is $3,490.56. Both items are subject to a 10-day delivery window, with a scheduled delivery date of July 27, 2026. The State of Texas sales tax exemption applies to this purchase. The contractor is required to include a packing list showing the PO number and contact information and ship materials to Location Code 3137 in Tyler, Texas.

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Purchase Order PO No. 26308394

Order Date: 7/17/2026

Internal Tracking No.: 0000409527

Contractor Info Bill To Ship To WorkQuest, Inc.

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

(512) 451-8145

302 E RIECK RD-MC3135

INVOICE-HHSC

TYLER TX 75703

ATTN DARIN ADAMS

(903) 533-4258

HHSC -3303 MINEOLA HWY

TYLER, TX 75702

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000409527 AND ATTN CONTACT INFO *** Ship to Attn: DARIN ADAMS 903-533-4258 darin.adams@hhs.texas.gov SUPER USER: michelle.dawis@hhs.texas.gov 903-509-5143 Health and Human Services Commission

3303 MINEOLA HWY., TYLER, TX 75702

SEND INVOICES TO: reg04_admin_services@hhs.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

Health & Human Services Commission - 529

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

Purchase Order PO No. 26308394

Order Date: 7/17/2026

Internal Tracking No.: 0000409527

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 62080 62080171002 Pen, Ballpoint, Retractable, Soft Grip, Rocket Ez, Plus Freight Order Less Than $25 Attribute 1: Fine Blue 62080171507 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 10 Delivery Date: 7/27/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

Ship to Attn: DARIN ADAMS 9 0 3 - 5 3 3 - 4 2 5 8 darin.adams@hhs.texas.gov S U P E R U S E R :

m iche l l e .daw is@hhs. texas .gov 903-509-5143 Health and Human Services Commission

3303 MINEOLA HWY., TYLER, TX

75702

SHIP TO LOCATION CODE: 3137

288 DOZ 6.06 $1,745.28

2 62080 62080171002 Pen, Ballpoint, Retractable, Soft Grip, Rocket Ez, Plus Freight Order Less Than $25 Attribute 1: Fine Black 62080171002 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 10 Delivery Date: 7/27/2026 Notes: ***PACKING LIST REQUIRED