Alcohol Stock Request

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Alcohol Stock Request Powered By Docstoc
					YALE UNIVERSITY
                                                                                      TR&S STOCK REQUEST
                                                                                            ALCOHOL
 - All Stock Requests must have an authorizing signature and PTAEO                                                                            Stock Request Number
 - Requests with incomplete information will be returned to the Requisitioner                                                   SR#
 - For more information, please visit the TRS Website at www.yale.edu/trs                                                                Enter TCN number here
 - Contact Medical Receiving at (78)5-5884 with any questions                                                                           Click here for TCN Number
FAX completed form to (78)5-6948

FURNISH TO: Last Name:                                                          First Name:                                            Date: DD/MON/YYYY

Department:                                                                     Phone:                                                 Fax:

DELIVERY LOCATION: Building Name                                                Street:                                                Room Number:

AUTHORIZER: (Print or Type Name)                                                Signature:                                             Date:

                                                                                     PROJECT    TASK            AWARD          EXP. TYPE                   ORG.
Charging Instructions:

                                                                                                                            TO BE COMPLETED BY THE STOCKROOM
       YALE                                           ITEM DESCRIPTION                         UNIT OF          QUANTITY   QUANTITY         UNIT        EXTENDED
   STOCK NUMBER                                          (one item per line)                    ISSUE           ORDERED     ISSUED         PRICE          PRICE
        34880              ETHANOL, 190 proof 5 gal drum w/flex spout                            EA
        34869              ETHANOL, 190 proof 1 gal can 4/cs                                     CS
        34870              ETHANOL, 200 proof 5 gal drum w/flex spout                            EA
        34871              ETHANOL, 200 proof pints 24/cs                                        CS
        34868              ETHANOL, 200 proof 1 gal can 4/cs                                     CS



                                                                                                                                               Total:

For Stockroom Delivery Use Only
Order Filled/Issued By:                                                                          Date Filled:                         No. of Parcels:
Order Received By (print):                                                                                                            Date Received:
Receiver Signature:
Delivered By:                                                                                                                         Delivery Date:
Rev. 5/2011

				
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