27005328-0.pdf
PDF 15 KB Posted
- Attached to
- TX|615-S1|27005328
- Contract number
- 27005328
- Issued by
- Texas
About this file
Purchase Order Summary
This is a Purchase Order (PO No. 27005328) issued by the State of Texas Department of State Health Services (DSHS), Agency 537, to WorkQuest Inc., a contractor based in Austin, Texas. The order was placed on October 5, 2026, with internal tracking number 0000416085. The billing and shipping addresses are both located in Austin, Texas, with Robin Lovelace designated as the agency contact and Lindsey De La Rosa serving as the HHSC buyer. The State of Texas claims exemption from federal excise taxes and sales taxes under Texas Tax Code Section 151.309(4).
The purchase order covers two cartons of Samsill Sheet Protectors (Heavy Weight Clear, MPN 41203) under Contract 615-S1, a term contract. The unit price is $112.32 per carton, with a total order value of $224.64 including freight. The delivery is scheduled for October 19, 2026, with an Arrive Required Order (ARO) timeframe of 14 days. Invoices must be submitted per 34 TAC §20.487 and directed to invoices@dshs.texas.gov.
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Text version
Purchase Order PO No. 27005328
Order Date: 10/5/2026
Internal Tracking No.: 0000416085
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
Robin Lovelace
(512) 776-2343 1111 W North Loop Austin, TX 78756
NOTE TO CONTRACTOR: PO#: 0000416085
AGENCY CONTACT/SHIP:
Robin Lovelace Robin.Lovelace1@dshs.texas.gov
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 61580 61580401002 Sheet Protectors Heavy Weight Clear; Freight Included Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/19/2026
MPN: 41203
Manufacturer Name: Samsill
2 CRTN 112.32 $224.64
Purchase Order PO No. 27005328
Order Date: 10/5/2026
Internal Tracking No.: 0000416085
Total $224.64
File details come from the government source that posted it. Updated .