27004796-0.pdf

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Attached to
TX|605-S1|27004796
Contract number
27004796
Issued by
Texas

About this file

Written by GovTribe AI ·

This is a Purchase Order (PO No. 27004796) issued by the State of Texas Department of State Health Services (DSHS), Agency 537, on October 1, 2026. The order is placed with WorkQuest Inc., located at 1011 East 53 1/2 Street, Austin, TX 78751. The purchase is managed by HHSC Buyer Lindsey De La Rosa, with shipping directed to Rhoda Gilmore at Tower Building T308.8 in Austin, TX 78756. The order is exempt from state and city sales taxes under Texas Tax Code Section 151.309(4) as a purchase for exclusive state use.

The purchase order covers 12 line items totaling $2,213.52 for office supply commodities, primarily consisting of 3M branded sticky note pads (various sizes and colors), sticky flags, manila file folders, file pockets, sheet protectors, steno notebooks, AAA batteries, and a desktop stapler. All items are sourced through existing term contracts (615-S1, 785-S1, and 605-S1) with delivery dates ranging from October 6, 2026 to October 22, 2026, with most items scheduled for delivery on October 15, 2026. Delivery timeframes range from 5 to 21 days after order date. The order includes freight charges on items with orders less than $25, and freight is fully included on specified items.

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Purchase Order PO No. 27004796

Order Date: 10/1/2026

Internal Tracking No.: 0000415794

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

Rhoda Gilmore

(512) 776-4217 1111 W North Loop Austin, TX 78756

NOTE TO CONTRACTOR: PO#: 0000415794

AGENCY CONTACT/SHIP ATTN:

Gabriela Soto Gabriela.Soto@dshs.texas.gov

SHIP: Rhoda Gilmore - Tower Building T308.8 - 512-776-4217

HHSC BUYER:

Lindsey De La Rosa CTCD, CTCM 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

Order Date: 10/1/2026

Internal Tracking No.: 0000415794

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: 10/15/2026 MPN: MMM6605SSCYneon Manufacturer Name: 3M

20 PACK 14.47 $289.40

2 61562 61562384301 Self Stick Note Pad, 3" X 5", Neon, 100 Sheets/Pad, 6 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/15/2026

MPN: MMM6555

Manufacturer Name: 3M

20 PACK 12.81 $256.20

3 61562 61562383601 Self Stick Note Pad, 3" X 3", Neon, 100 Sheets/Pad, 6 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/15/2026

MPN: 61562383601

Manufacturer Name: 3M

15 PACK 9.74 $146.10

4 61593 61593421500 Self Stick Flags, .5" X 1.7", Multi Color, 1 Color Per Dispenser,35 Flags/Dispenser, 4 Dispensers/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/15/2026

MPN: OFA1402

Manufacturer Name: 3M

30 PACK 4.80 $144.00

5 61593 61593423702 Self Stick Flags, 1" x 1.7", 50 Flags/Dispenser, 2 Disp/100 Flags/Pkg., Plus Freight Less Than $25 Attribute 1: 61593423702-1 Blue Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/15/2026

MPN: OFA-1501C

30 PKG 3.70 $111.00

Order Date: 10/1/2026

Internal Tracking No.: 0000415794

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

6 61562 61562384315 Self Stick Note Pad, 3" X 5", Yellow, 100 Sheets/Pad, 12 Pads/Pkg, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/15/2026

MPN: MMM559YW

Manufacturer Name: 3M

20 PKG 18.43 $368.60

7 61543 61543141001 Manila File Folder 24/pack;Freight is added to orders less than$25.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/15/2026

MPN: 17526

Manufacturer Name: BSN

40 PACK 6.10 $244.00

8 61541 61541221950 File Pocket, 3 1/2" Expansion, Freight included Contract: 615-S1 Contract Type: Term Delivery ARO (days): 21 Delivery Date: 10/22/2026

50 EACH 1.61 $80.50

9 61580 61580401002 Sheet Protectors Heavy Weight Clear; Freight Included Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/15/2026

MPN: 41203

Manufacturer Name: Samsill

1 CRTN 112.32 $112.32

10 78573 78573755714 Steno Notebook, Gregg Ruled 6 X 9;Freight Is Added To Orders Less Than $25 Contract: 785-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/15/2026

MPN: 00577

Manufacturer Name: Bazic

40 EACH 1.76 $70.40

Order Date: 10/1/2026

Internal Tracking No.: 0000415794

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

11 45006 45006100103 Rayovac High Energy, AAA Batteries; 24/Pack. 32lbs/Pack. 288 Batteries/CS. Freight Included.

Contract: 615-S1 Contract Type: Term Delivery ARO (days): 5 Delivery Date: 10/6/2026

MPN: 824-12T

Manufacturer Name: Rayovac

2 CASE 119.10 $238.20

12 60588 60588400200 Stapler, Desktop; Freight Is Added To Orders Less Than $25 Contract: 605-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/15/2026

MPN: OFA-3000

Manufacturer Name: Bazic

20 EACH 7.64 $152.80

Total $2,213.52

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