27005694-0.pdf
PDF 17 KB Posted
- Attached to
- TX|207-S2|27005694
- Contract number
- 27005694
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 27005694) issued by the State of Texas, Department of State Health Services (DSHS), Agency 537, through the Texas Comptroller of Public Accounts Statewide Procurement Division. The ordering agency is DSHS, represented by purchaser Debra Burns. The contractor is WorkQuest Inc., located at 1011 East 53 1/2 Street, Austin, TX 78751. Delivery is directed to the HHSC Warehouse at 1111 W North Loop, Austin, TX 78756, to the attention of Terri Lemuel. The order was placed on October 7, 2026, with an internal tracking number of 0000416229.
The purchase order contains four line items for office supplies totaling $493.77. Line 1 consists of eight packs of 3M Self Stick Note Pads (3" X 3", Neon, 100 sheets/pad, 6 pads/pack) at $9.74 per pack for $77.92. Line 2 includes one pack of Rayovac Ultra Pro AA batteries (24/pack, 288 batteries/case) at $12.50. Line 3 specifies five packages of Skilcraft Self Stick Note Pads (3" X 3", Yellow, 100 sheets/pad, 12 pads/package) at $13.83 per package for $69.15. Line 4 consists of ten boxes of Avery 5162 Address Labels (1-1/3" X 4" White, 14 labels/sheet, 100 sheet/box) at $33.42 per box for $334.20. All items are under term contracts (615-S1 and 207-S2) with a 14-day delivery window and scheduled delivery date of October 21, 2026. The State of Texas is exempt from all Federal Excise Taxes and sales taxes under Texas Tax Code Section 151.309(4).
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Text version
Purchase Order PO No. 27005694
Order Date: 10/7/2026
Internal Tracking No.: 0000416229
Contractor Info Bill To Ship To WorkQuest Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
PO BOX 149347
Fiscal Division/Accounts Payable
AUSTIN TX 78714-9347
ATTN Lemuel,Terri
(737) 255-4482 1111 W North Loop Austin, TX 78756 Location: G0106A1 PH: 347-448-3190 X46608
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000416229 AND ATTN CONTACT INFO *** SHIP TO ATTN Lemuel,Terri 737-255-4482 Latrice terri.lemuel@dshs.texas.gov HHSC WAREHOUSE 1111 W North Loop Austin TX 78756 Location: G0106A1 PH: 347-448-3190 X46608 ****SEND INVOICE TO invoices@dshs.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
Dept Of State Health Services -
Debra Burns Debra.Burns@hhs.texas.gov (512) 406-2564
Order Date: 10/7/2026
Internal Tracking No.: 0000416229
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 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: 10/21/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
***ORDER CONFIRMATION
REQUIRED FROM VENDOR***
SHIP TO ATTN Lemuel,Terr i 7 3 7 - 2 5 5 - 4 4 8 2 L a t r i c e terri.lemuel@dshs.texas.gov HHSC WAREHOUSE 1111 W North Loop Austin TX 78756 Location: G0106A1 PH: 347-448-3190 X46608
MPN: 61562383601
Manufacturer Name: 3M
8 PACK 9.74 $77.92
2 45006 45006100100 Rayovac Ultra Pro ALAA-24 24/PACK 1.35lbs/PACK; 288 Batteries /Case.Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/21/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
***ORDER CONFIRMATION
REQUIRED FROM VENDOR***
SHIP TO ATTN Lemuel,Terr i 7 3 7 - 2 5 5 - 4 4 8 2 L a t r i c e terri.lemuel@dshs.texas.gov HHSC WAREHOUSE 1111 W North Loop Austin TX 78756 Location: G0106A1 PH: 347-448-3190 X46608
MPN: ALAA-24
Manufacturer Name: Rayovac
1 PACK 12.50 $12.50
Order Date: 10/7/2026
Internal Tracking No.: 0000416229
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
3 61562 61562384000 Self Stick Note Pad, 3" X 3", 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: 10/21/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
***ORDER CONFIRMATION
REQUIRED FROM VENDOR***
SHIP TO ATTN Lemuel,Terr i 7 3 7 - 2 5 5 - 4 4 8 2 L a t r i c e terri.lemuel@dshs.texas.gov HHSC WAREHOUSE 1111 W North Loop Austin TX 78756 Location: G0106A1 PH: 347-448-3190 X46608
MPN: 61562384000
Manufacturer Name: Skilcraft
5 PKG 13.83 $69.15
4 20772 20772502652 Labels, Address, Avery 5162, 1-1/3" X 4" White, 14 Labels/Sheet, 100 Sheet/Box, Freight Included Contract: 207-S2 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/21/2026 Notes: ***PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
***ORDER CONFIRMATION
REQUIRED FROM VENDOR***
SHIP TO ATTN Lemuel,Terr i 7 3 7 - 2 5 5 - 4 4 8 2 L a t r i c e terri.lemuel@dshs.texas.gov HHSC WAREHOUSE 1111 W North Loop Austin TX 78756 Location: G0106A1 PH: 347-448-3190 X46608
MPN: 5162
Manufacturer Name: Avery
10 BOX 33.42 $334.20
Total $493.77
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