27003603-0.pdf
PDF 17 KB Posted
- Attached to
- TX|615-S1|27003603
- Contract number
- 27003603
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 27003603) issued by the State of Texas, Department of State Health Services (Agency 537), through the Texas Comptroller of Public Accounts Statewide Procurement Division. The order was placed on September 28, 2026, with WorkQuest Inc., a vendor located in Austin, Texas. The purchasing agent is Debra Burns, and the order is directed to Jonathan Gray at the receiving location (1111 W North Loop, Austin, TX 78756).
The purchase order comprises four line items of office supplies with a combined total value of $209.84. The items include: 12 each of 8-inch bent scissors at $4.83 per unit ($57.96 extended); 4 dozen medium-point retractable gel ink pens in black at $9.46 per dozen ($37.84 extended); 4 packages of legal-ruled junior size notepads (5" x 8") at $14.04 per package ($56.16 extended); and 4 packs of 4" x 6" neon self-stick note pads at $14.47 per pack ($57.88 extended). All items are governed by term contracts (605-S1, 620-S1, and 615-S1) with a standard delivery period of 14 days from order date (delivery date of October 12, 2026). Invoices should be directed to invoices@dshs.texas.gov, and all shipments require a packing list displaying the PO number and recipient contact information. The State of Texas claims exemption from sales and excise taxes under Texas Tax Code Section 151.309(4).
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Text version
Purchase Order PO No. 27003603
Order Date: 9/28/2026
Internal Tracking No.: 0000415582
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 Patterson, Jonathan Gray
(512) 776-7610 1111 W North Loop Austin, TX 78756
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000415582 AND ATTN CONTACT INFO *** SHIP TO ATTN SHIP TO ATTN Patterson,Jonathan Gray 512-776-7610 jonathan.patterson@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 60569 60569453081 Scissor, Bent, 8" Length, Plus Freight Order Less Than $25 Contract: 605-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/12/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN SHIP TO ATTN
Pa t t e r s o n , J o n a t h a n G ray 5 1 2 - 7 7 6 - 7 6 1 0 jonathan.patterson@dshs.texas.gov
12 EACH 4.83 $57.96
Order Date: 9/28/2026
Internal Tracking No.: 0000415582
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
2 62080 62080100017 Pen, .7MM Medium Point , Retractable, Refillable, Gel ink, Plus Freight Order Less Than $25 Attribute 1: Black Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/12/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN SHIP TO ATTN
Pa t t e r s o n , J o n a t h a n G ray 5 1 2 - 7 7 6 - 7 6 1 0 jonathan.patterson@dshs.texas.gov
4 DOZ 9.46 $37.84
3 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: 10/12/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN SHIP TO ATTN
Pa t t e r s o n , J o n a t h a n G ray 5 1 2 - 7 7 6 - 7 6 1 0 jonathan.patterson@dshs.texas.gov
MPN: OF12332
Manufacturer Name: Bangkit
4 PKG 14.04 $56.16
4 61562 61562385601 Self Stick Note Pad, 4" X 6", Neon, Lined,100 Sheets/Pad, 6 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/12/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN SHIP TO ATTN
Pa t t e r s o n , J o n a t h a n G ray 5 1 2 - 7 7 6 - 7 6 1 0 jonathan.patterson@dshs.texas.gov MPN: MMM6605SSCYneon Manufacturer Name: 3M
4 PACK 14.47 $57.88
Order Date: 9/28/2026
Internal Tracking No.: 0000415582
Total $209.84
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