PURCHASE ORDER REQUEST FORM Date: 12/16/2011
VENDOR:
Barnes and Noble SHIP TO: Darien Public Schools
Central Office
2 Renshaw Road
360 Connecticut Avenue Darien, CT 06820
Street
Norwalk, CT 06854 Attention: Antoinette Fornshell
City, State, Zip 203-656-7400
Grade: S. S. Committee
Grade 2
Account # 10%
Amount Total
$72.00
$72.00
QTY. Catalog # Description Unit Price TOTAL
10 ISBN-13: 9781403445032 Uniquely Connecticut $9.00 $90.00
20% educator discount $18.00
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Subtotal: $108.00