27005310-0.pdf

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Attached to
TX|640-S1|27005310
Contract number
27005310
Issued by
Texas

About this file

Purchase Order Summary

This is a Purchase Order (PO No. 27005310) issued by the State of Texas Department of State Health Services (DSHS) to WorkQuest Inc., a contractor based in Austin, Texas. The order was placed on October 5, 2026, with an internal tracking number of 0000416065. The billing and shipping addresses are located in Austin and Arlington, Texas, respectively. The primary contacts are Lynda Nuckols at DSHS and Lindsey De La Rosa as the HHSC buyer. The State of Texas claims exemption from all federal excise taxes and state and city sales taxes under Texas Tax Code Section 151.309(4).

The purchase order covers 2 packages of heavy-weight 4-pound paper bags (500 bags per package) under NIGP Code 64015, with a unit price of $19.52 per package and an extended price of $39.04. The goods are sourced under Contract 640-S1, designated as a term contract, with a delivery timeframe of 10 days after receipt of order (ARO), with an expected delivery date of October 15, 2026. Freight is included in the pricing. The total order value is $39.04, and invoicing should be submitted per 34 TAC §20.487, amended effective May 1, 2022, to invoices@dshs.texas.gov.

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Text version

Purchase Order PO No. 27005310

Order Date: 10/5/2026

Internal Tracking No.: 0000416065

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

Lynda Nuckols

(817) 264-4533

DSHS-1301 S BOWEN RD STE 200

ARLINGTON, TX 76013

NOTE TO CONTRACTOR: PO#: 0000416065

AGENCY CONTACT/SHIP ATTN:

Lynda Nuckols lynda.nuckols@dshs.texas.gov 817-264-4533

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

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 64015 64015160754 Bags, Paper, Heavy Weight. 4 Lb, 500/Pkg, Freight Included Contract: 640-S1 Contract Type: Term Delivery ARO (days): 10 Delivery Date: 10/15/2026

2 PKG 19.52 $39.04

Purchase Order PO No. 27005310

Order Date: 10/5/2026

Internal Tracking No.: 0000416065

Total $39.04

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