27004479-0.pdf

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Attached to
TX|645-S1|27004479
Contract number
27004479
Issued by
Texas

About this file

This is a Purchase Order (PO No. 27004479) issued by the Texas Board of Dental Examiners (Agency 504) on September 29, 2026. The order was placed with WorkQuest Inc., a contractor located at 1011 East 53 1/2 Street, Austin, TX 78751. The purchaser is Ayana Salinas of the Texas Comptroller of Public Accounts – Statewide Procurement Division. The order is billed to and shipped to 1801 Congress Ave, Suite 8.600, Austin, TX 78701. The State of Texas is exempt from federal excise taxes and sales taxes on this purchase under Texas Tax Code, Section 151.309(4).

The purchase order contains two line items: (1) five binders with 2-inch capacity, 3-ring, vinyl view construction with inside front and back pockets (NIGP Code 61573, Supplier Part #61573163104-2) at $5.35 per unit for an extended price of $26.75, under Contract 615-S1; and (2) ten cases of recycled white bond paper, #4, 20 lb. letter size with 5-ream cartons containing 2,500 sheets per carton (NIGP Code 64521, MPN 412101, manufactured by Fort Worth Lighthouse) at $46.85 per case for an extended price of $468.50, under Contract 645-S1. Both items are term contracts with an approximate requested delivery of 20 days from the order date, with a delivery date of October 19, 2026. Freight is included in the pricing for both items. The total order value is $495.25.

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Text version

Purchase Order PO No. 27004479

Order Date: 9/29/2026

Internal Tracking No.: 504-2027-0022

Contractor Info Bill To Ship To WorkQuest Inc.

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

(512) 451-8145

1801 Congress Ave

SUITE 8.600

AUSTIN TX 78701

TSBDE Purchaser

(737) 363-2320 1801 Congress Ave

SUITE 8.600

AUSTIN, TX 78701

NOTE TO CONTRACTOR:

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

Tx. Board Of Dental Examiners -

Ayana Salinas asalinas@tsbde.texas.gov (737) 363-2265

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 61573 61573163104 Binder, 2" Capacity, 3 Ring, Vinyl View, Inside Front/Back Pockets, Plus Freight Order Less Than $25 Attribute 1: Black-61573163104-2 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 10/19/2026

5 EACH 5.35 $26.75

2 64521 64521412101 Paper, Bond, Recycled, White, #4, 20 lb., Letter; 5-ream cartons with 2500/sheets per carton. Freight Included Contract: 645-S1 Contract Type: Term Delivery ARO (days): 20 Delivery Date: 10/19/2026

MPN: 412101

Manufacturer Name: Fort Worth Lighthouse

10 CASE 46.85 $468.50

Purchase Order PO No. 27004479

Order Date: 9/29/2026

Internal Tracking No.: 504-2027-0022

Total $495.25

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