27006597-0.pdf
PDF 15 KB Posted
- Attached to
- TX|620-S1|27006597
- Contract number
- 27006597
- Issued by
- Texas
About this file
This Purchase Order (PO No. 27006597) was issued by the State of Texas, Department of State Health Services (Agency 537), on October 8, 2026. The purchasing agent is Debra Burns. The order was placed with WorkQuest Inc., a contractor located at 1011 East 53 1/2 Street, Austin, TX 78751. The goods will be shipped to the DSHS facility at 5425 Polk Street, Suite 420, Houston, TX 77023, with Beatriz Moreno designated as the recipient. The order is subject to the State of Texas sales tax exemption under Texas Tax Code Section 151.309(4).
The purchase order covers two line items for retractable rollerball pens under Contract 620-S1 (a term contract). Line 1 specifies 2 packs of 0.5mm black pens at $13.08 per pack, totaling $26.16. Line 2 specifies 2 packs of 0.5mm blue pens at $13.08 per pack, totaling $26.16. The combined order total is $52.32. Both items are classified under NIGP Code 62060 (office supplies) and carry a 14-day delivery window, with an expected delivery date of October 22, 2026. The contractor is required to include a packing list showing the PO number and attention contact information with the shipment, and invoices should be sent to invoices@dshs.texas.gov.
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Text version
Purchase Order PO No. 27006597
Order Date: 10/8/2026
Internal Tracking No.: 0000416306
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
5425 Polk St Ste 420 ATTN Sellers,La Torres D
(713) 767-3000
DSHS-5425 POLK ST
HOUSTON, TX 77023-1444
RECIPIENT Beatriz Moreno 713-767-3022
NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000416306 AND ATTN CONTACT INFO *** SHIP TO ATTN Sellers,La Torres D 713-767-3000 latorres.sellers@dshs.texas.gov RECIPIENT Beatriz Moreno 713-767-3022 Beatriz.Moreno@dshs.texas.gov 5425 Polk St Ste 420 Houston TX 77023 ***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
Purchase Order PO No. 27006597
Order Date: 10/8/2026
Internal Tracking No.: 0000416306
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 62060 6208071001 Pen, Rollerball, Retractable, Magnus,Plus Freight Order Less Than $25 Attribute 1: 0.5mm Attribute 2: Black Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/22/2026 Notes: **PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Sellers,La Torres D 7 1 3 - 7 6 7 - 3 0 0 0 latorres.sellers@dshs.texas.gov RECIPIENT Beatr iz Moreno 7 1 3 - 7 6 7 - 3 0 2 2 Beatriz.Moreno@dshs.texas.gov 5425 Polk St Ste 420 Houston TX 77023
2 PACK 13.08 $26.16
2 62060 6208071001 Pen, Rollerball, Retractable, Magnus,Plus Freight Order Less Than $25 Attribute 1: 0.5mm Attribute 2: Blue Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/22/2026 Notes: **PACKING LIST REQUIRED
TO SHOW PO NUMBER AND ATTN
CONTACT INFO ***
SHIP TO ATTN Sellers,La Torres D 7 1 3 - 7 6 7 - 3 0 0 0 latorres.sellers@dshs.texas.gov RECIPIENT Beatr iz Moreno 7 1 3 - 7 6 7 - 3 0 2 2 Beatriz.Moreno@dshs.texas.gov 5425 Polk St Ste 420 Houston TX 77023
2 PACK 13.08 $26.16
Total $52.32
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