27006734-0.pdf

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Attached to
TX|080-S1|27006734
Contract number
27006734
Issued by
Texas

About this file

This is a Purchase Order (PO No. 27006734) issued by the State of Texas, Department of State Health Services (Agency 537), to WorkQuest Inc., a contractor based in Austin, Texas. The order was placed on October 9, 2026, with an internal tracking number of 0000416353. The purchasing agent is Debra Burns, and the order is to be shipped to the Health & Human Services Commission in Temple, Texas, with attention to Clark, Heather Lynn.

The purchase order covers 12 units of awards/plaques measuring 8.5" x 11" with document clear covers made from recycled material (Manufacturer TAB, Model 08065571104). The plaques feature a walnut grain finish and are ordered under Contract 080-S1, a term contract with a 14-day delivery window. The unit price is $12.14 per plaque, resulting in an extended price of $145.68 for the total order. The order is exempt from state and city sales taxes as a purchase for the exclusive use of the State of Texas. The contractor is required to include a packing list with the PO number and contact information, and invoices must be sent to invoices@dshs.texas.gov with a delivery date of October 23, 2026.

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Text version

Purchase Order PO No. 27006734

Order Date: 10/9/2026

Internal Tracking No.: 0000416353

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 Clark,Heather Lynn

(254) 771-6799

HEALTH & HUMAN SERVICES COMMISSION

1010 Old Waco Rd Temple, TX 76502

NOTE TO CONTRACTOR: ***PACKING LIST REQUIRED TO SHOW PO NUMBER 0000416353 AND ATTN CONTACT INFO *** SHIP TO ATTN Clark,Heather Lynn 254-771-6799 heather.clark@dshs.texas.gov 1010 Old Waco Rd Temple TX 76502 ****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

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 08065 08065571104 Award, Plaque, 8 .5" x 11" Document, Clear Cover, Recycled Material, Qty: 12-119 A t t r i b u t e 1 : W a l n u t Grain-08065571104-1 Contract: 080-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/23/2026 Notes: ***PACKING LIST REQUIRED

TO SHOW PO NUMBER AND ATTN

CONTACT INFO ***

SHIP TO ATTN Clark,Heather Lynn 2 5 4 - 7 7 1 - 6 7 9 9 heather.clark@dshs.texas.gov 1010 Old Waco Rd Temple TX 76502

MPN: 08065571104

Manufacturer Name: TAB

12 EACH 12.14 $145.68

Purchase Order PO No. 27006734

Order Date: 10/9/2026

Internal Tracking No.: 0000416353

Total $145.68

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