26335204-0.pdf

Purchase Order PO No. 26335204

Order Date: 8/24/2026

Internal Tracking No.: 0000001581

Contractor Info Bill To Ship To WorkQuest, Inc.

17419760511 1011 East 53 1/2 Street Austin, TX 78751

(512) 451-8145

507Accting@bon.texas.gov 1801 Congress Avenue

AUSTIN TX 78701

Texas Board of Nursing Abel Martinez

(512) 305-6889 1801 Congress Ave Suite 10-200 Austin, TX 78701

NOTE TO CONTRACTOR: BON Delivery Contact: Lorraine Gerami - 512-305-6857 - lorraine.gerami@bon.texas.gov BON Contract Monitor: Kizzie Gonzales - 512-305-6854 – Kizzie.Gonzales@bon.texas.gov Please instruct delivery drivers to contact the BON Contract Monitor listed above for delivery related matters.

Please submit all invoices to: invoices@thc.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

Board Of Nurse Examiners - 507 Abel- Martinez abel.martinez@bon.texas.gov (512) 305-6889

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NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

1 20772 20772502009 Labels, Address, Avery 5161, 1" X 4" White, 20 Labels/Sheet, 100 Sheets/Box, Freight Included Contract: 207-S2 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 9/7/2026

MPN: 5161

Manufacturer Name: Avery

10 BOX 32.67 $326.70

Purchase Order PO No. 26335204

Order Date: 8/24/2026

Internal Tracking No.: 0000001581

Line

NIGP

Code

Commodity Code/ Supplier Part #

Item QTY UOM Unit Price Extended Price

2 61562 61562383602 Self Stick Note Pad, 3" x 3", Yellow, Fan fold refill, 100 Sheets/Pad, 12 Pads/Pk, Plus Freight Order Less Than $25 Contract: 615-S1 Contract Type: Term Delivery ARO (days): 14 Delivery Date: 9/7/2026

MPN: 61562383602

Manufacturer Name: 3M

3 PACK 10.79 $32.37

Total $359.07