27003242-0.pdf

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Attached to
TX|615-S1|27003242
Contract number
27003242
Issued by
Texas

About this file

This is a Purchase Order (PO No. 27003242) issued by the State of Texas Department of State Health Services (DSHS), Agency 537, to WorkQuest Inc., a contractor located in Austin, Texas. The order was placed on September 24, 2026, with an internal tracking number 0000415435. The contracting officer is Lindsey De La Rosa, and the agency contact for shipment is Heather Clark. The purchase order is subject to state and local sales tax exemption under Texas Tax Code Section 151.309(4), as the materials are being procured for exclusive use by the State of Texas.

The purchase order includes two line items for office supplies manufactured by House of Doolittle under Contract 615-S1 (Term Contract): 12 Appointment Planners (Monthly, Black, Wire Bound, 8-7/8 X 11-1/4) at $15.76 each for $189.12, and 3 Desk Pad Calendars (22 X 17, 12 Months) at $8.49 each for $25.47. Both items include freight and are scheduled for delivery by October 8, 2026, with an Acceptable Range of Delivery (ARO) of 14 days. The total order value is $214.59. Invoices should be submitted per 34 TAC §20.487 to invoices@dshs.texas.gov.

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Text version

Purchase Order PO No. 27003242

Order Date: 9/24/2026

Internal Tracking No.: 0000415435

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

Heather Clark

(254) 771-6799 1010 Old Waco Rd Temple, TX 76502

NOTE TO CONTRACTOR: PO#: 0000415435

AGENCY CONTACT/SHIP ATTN:

Heather Clark Phone 254-771-6799 Email: Heather.Clark@dshs.texas.gov

HHSC BUYER:

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

Purchase Order PO No. 27003242

Order Date: 9/24/2026

Internal Tracking No.: 0000415435

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61515 61515074505 Appointment Planner, Monthly, Black, Wire Bound, 8-7/8 X 11-1/4, Black, 100% Post-Consumer Recycled, Freight included Attribute 1: 2027 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/8/2026

MPN: HOD27202

Manufacturer Name: House of Doolittle

12 EACH 15.76 $189.12

2 61519 61519130779 Calendar, Desk Pad, 22 X 17, 12 Months,Freight included Attribute 1: 2027 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/8/2026

MPN: HOD124

Manufacturer Name: House of Doolittle

3 EACH 8.49 $25.47

Total $214.59

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