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PURCHASE REQUISITION

 

Name:                                                                                                                 Date:      

 

School / Department:                                                                                        

 

Suggested Supplier:              

 

Address:                                                                                                                                        

 

Supplier Web Address:                                                                                   

 

Fax:                                                                                                                   

 

Phone:                                    

 

Reason for Purchase:            

 

QTY

Catalog # / Item URL

Description of Item

Total Price

 

 

     

 

     

 

     

 

$        

 

     

 

     

 

     

 

$        

 

     

 

     

 

     

 

$        

 

     

 

     

 

     

 

$        

 

     

 

     

 

     

 

$        

 

     

 

     

 

     

 

$        

 

SHIPPING & HANDLING MUST BE INCLUDED

 

$        

 

TOTAL AMOUNT

 

$        

Appropriation                                                                                                                       

Balance Available                                                   

Current Purchase Amount                                                                        

Balance Remaining                               

 

TO BE COMPLETED BY ADMINISTRATION

 

 Approved                                                                                                                          Approved

 Denied: Rationale ________________                                                                            Denied: Rationale ________________

 

Budget Code: _______________________

__________________________________                                               ____________________________________        Assistant Principal/Principal                                                                                         Executive Dire