27004470-0.pdf
PDF 15 KB Posted
- Attached to
- TX|615-S1|27004470
- Contract number
- 27004470
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 27004470) issued by the State of Texas, Health & Human Services Commission (Agency 529), through the Texas Comptroller of Public Accounts' Statewide Procurement Division. The order is directed to WorkQuest Inc., located in Austin, Texas, with billing to the Brenham State Supported Living Center and shipment to the Richmond State Supported Living Center Warehouse in Richmond, Texas. The purchasing agent is Debra Burns with contact information provided for coordination.
The purchase order covers self-stick note pads manufactured by 3M (Model MMM6605SSCYneon), specifically 4" x 6" neon-colored lined pads with 100 sheets per pad and 6 pads per pack. The order quantity is 3 packs at a unit price of $14.47 per pack, for an extended price and total order amount of $43.41, which includes freight. The contract is identified as a term contract (615-S1) with an estimated delivery time of 14 days from the order date of September 29, 2026, with an expected delivery date of October 13, 2026. The order is exempt from Texas sales and city taxes as property for exclusive use by the State of Texas, and invoices must be directed to the designated accounting email address with the packing list showing the PO number and contact information.
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Text version
Purchase Order PO No. 27004470
Order Date: 9/29/2026
Internal Tracking No.: 0000415703
Contractor Info Bill To Ship To WorkQuest Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
Brenham SSLC 4001 Highway 36 South Brenham TX 77833
ATTN Dockal,Diana K
(281) 344-4277 Richmond SSLC Whse 2100 Preston Richmond, TX 77469
ADMINISTRATION BLDG, 501/RM 108
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000415703 AND ATTN CONTACT INFO *** SHIP TO ATTN Dockal,Diana K 281-344-4277 diana.dockal@hhs.texas.gov RSSLC CTCM: Ana Kruse 281-344-4648 Ana.kruse@hhs.texas.gov ***SEND INvOICE TO 712ACCOUNTING@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. 27004470
Order Date: 9/29/2026
Internal Tracking No.: 0000415703
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 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: 10/13/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Dockal,Diana K 2 8 1 - 3 4 4 - 4 2 7 7 diana.dockal@hhs.texas.gov RSSLC CTCM: Ana K r use 2 8 1 - 3 4 4 - 4 6 4 8 Ana.kruse@hhs.texas.gov 2100 Preston Richmond TX 77469
MC 5998
MPN: MMM6605SSCYneon Manufacturer Name: 3M
3 PACK 14.47 $43.41
Total $43.41
File details come from the government source that posted it. Updated .