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					   Unit           Fund          Department                  Account   Internal         Project            Activity     Percent       Amount
  UCALG
  UCALG
  UCALG
  UCALG
  UCALG
  UCALG


                                                             PURCHASE REQUISITION


 Date Ordered :                                                                         Purchase Order # :
SUGGESTED SUPPLIERS :
                                                                      D
                                                                                                Dept :
                                                                      E
                                                                      L                         Bldg :
                                                                      I
                                                                      V                        Room :
                                                                      E
                                                                      R                         Attn :
                                                                      T                        Email :
                                                                      O
                                                                                                Ph # :

   ITEM        QUANTITY            CAT. NO.                                   DESCRIPTION                             UNIT PRICE     TOTAL
     1
     2
     3
     4
     5
     6
     7
     8
     9
    10
    11
    12
    13
    14
    15
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    19
    20
                               TELEPHONE                              PRICE / DELIVERY INFORMATION ONLY               ESTIMATED
 SERVICE REQUIRED :
                               FAX                                    FIRM ORDER                                        VALUE

 SALES TAX/DUTY INFORMATION THIS MATERIAL TO BE USED FOR:                 RESEARCH          TEACHING                 OTHER

COMMENTS :



END USE DESCRIPTION :




                  IF WRITTEN QUOTES ARE IN YOUR POSSESSION FOR THIS MATERIAL, COPIES MUST BE ATTACHED TO REQUISITION FOR ENGINEERING
 NOTE:                     STORES AND A COPY FAXED TO PURCHASING AT 282-8421 WITH REQ # WRITTEN ON IT SO IT CAN BE MATCHED UP.

                    ENTERED INTO PEOPLESOFT                                  REQUISITIONED BY                DEPARTMENT AND/OR TRUST NAME
 PS Requester :                                                                                                              ENEL
 Date Entered :                                                              TELEPHONE LOCAL                          APPROVED BY:

 PS Requisition ID# :

				
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