27006748-0.pdf
PDF 17 KB Posted
- Attached to
- TX|620-S1|27006748
- Contract number
- 27006748
- Issued by
- Texas
About this file
This is a Purchase Order (PO No. 27006748) issued by the State of Texas Health and Human Services Commission (HHSC) to WorkQuest Inc., a contractor located in Austin, Texas. The purchase order was created on October 9, 2026, with an internal tracking number 0000416238. The order is being billed to and shipped to two HHSC warehouse locations: Terrell SH Whse in Terrell, Texas, and Rusk SH Whse in Rusk, Texas. Nicole Smith of HHSC's Centralized Procurement Services serves as the primary buyer, with Danielle Todd listed as the agency contact. The purchase is noted under CAPPS financial system reference number 0000416238.
The purchase order itemizes office supply products totaling $189.60 with no tax applied due to Texas state and local sales tax exemption. The items include eight line items consisting of gel ink rollerballs pens in various colors (medium blue, fine blue, and fine black) and self-stick flags in multi-color formats. Specifically, the order comprises seven dozen pens at $9.30 per dozen across five line items and 24 packs of 3M self-stick flags at $4.80 per pack across two line items. All items are sourced under Term Contracts 620-S1 and 615-S1 with a standard delivery timeframe of 14 days, with an expected delivery date of October 23, 2026. The order references NIGP commodity codes for classification purposes and includes manufacturer information for the flag products.
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Text version
Purchase Order PO No. 27006748
Order Date: 10/9/2026
Internal Tracking No.: 0000416238
Contractor Info Bill To Ship To WorkQuest Inc.
17419760511 1011 East 53 1/2 Street Austin, TX 78751
(512) 451-8145
Terrell SH Whse 1200 E Brin
TERRELL TX 75160
Danielle Todd
(903) 683-7435 Rusk SH Whse 805 N Dickinson Dr Rusk, TX 75785
NOTE TO CONTRACTOR: CAPPS FIN PO# 0000416238
AGENCY CONTACT:
Danielle Todd 903.683.7435 danielle.todd@hhs.texas.gov
HHSC BUYER:
Nicole Smith, CTCD, CTCM Nicole.Smith1@hhs.texas.gov
AP Email: HHSCTSHAccounting@hhs.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
Health & Human Services Commission - 529
Nicole Smith Nicole.Smith1@hhs.texas.gov (512) 776-2039
Order Date: 10/9/2026
Internal Tracking No.: 0000416238
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
1 62080 62080220106 Pen, Rollerball, Gel Ink, Retractable, Rubber Grip, General Use, Plus Freight Order Less Than $25 A t t r i b u t e 1 : M e d i u m Blue-62080220205 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/23/2026
1 DOZ 9.30 $9.30
2 62080 62080220106 Pen, Rollerball, Gel Ink, Retractable, Rubber Grip, General Use, Plus Freight Order Less Than $25 Attribute 1: Fine Blue-62080220221 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/23/2026
1 DOZ 9.30 $9.30
3 62080 62080220106 Pen, Rollerball, Gel Ink, Retractable, Rubber Grip, General Use, Plus Freight Order Less Than $25 Attribute 1: Fine Black- 62080220122 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/23/2026
2 DOZ 9.30 $18.60
4 62080 62080220106 Pen, Rollerball, Gel Ink, Retractable, Rubber Grip, General Use, Plus Freight Order Less Than $25 Attribute 1: Fine Blue-62080220221 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/23/2026
1 DOZ 9.30 $9.30
5 62080 62080220106 Pen, Rollerball, Gel Ink, Retractable, Rubber Grip, General Use, Plus Freight Order Less Than $25 Attribute 1: Fine Black- 62080220122 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/23/2026
2 DOZ 9.30 $18.60
Order Date: 10/9/2026
Internal Tracking No.: 0000416238
Line
NIGP
Code
Commodity Code/ Supplier Part #
Item QTY UOM Unit Price Extended Price
6 61593 61593421500 Self Stick Flags, .5" X 1.7", Multi Color, 1 Color Per Dispenser,35 Flags/Dispenser, 4 Dispensers/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/23/2026
MPN: OFA1402
Manufacturer Name: 3M
20 PACK 4.80 $96.00
7 61593 61593421500 Self Stick Flags, .5" X 1.7", Multi Color, 1 Color Per Dispenser,35 Flags/Dispenser, 4 Dispensers/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/23/2026
MPN: OFA1402
Manufacturer Name: 3M
4 PACK 4.80 $19.20
8 62080 62080220106 Pen, Rollerball, Gel Ink, Retractable, Rubber Grip, General Use, Plus Freight Order Less Than $25 Attribute 1: Fine Black- 62080220122 Contract: 620-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 10/23/2026
1 DOZ 9.30 $9.30
Total $189.60
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