GATEWAY COMMUNITY COLLEGE by wE1l0Z

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									                                    GATEWAY COMMUNITY COLLEGE
                                       PURCHASE REQUISITION
Date Prepared        Prepared By:                      Tel. Ext.
                                                                                      FOR PURCHASING, A/P OFFICE USE ONLY
Date Required        Deliver To:
                        Long Wharf Campus                                             Banner @ #                                  BU
                       North Haven Campus                                             FEIN #/SS#                                  BI
                                                                                      Contract #
Vendor                                                                                Bid #

Address                                                                               PO #                    Date                Initials

City, State, Zip                                                                      Invoice #

Telephone #                                                                           Batch #                 Date                Initials

Fax #                                                                                 Date Goods Received:

 Item         Model / Stock                    Description of Item                     Qty             Unit          Unit Price        Amount
  No.            No.                            (BE SPECIFIC)                                      (doz,ea,etc)




F.Y.          FUND       ORG.       ACCOUNT           PROGRAM               AMOUNT            (FOR PURCHASING, A/P USE ONLY)
          I                                                                                          DATE RECEIVCED


DEPARTMENTAL APPROVAL                                                   DATE


ADMIN. APPROVAL                                                         DATE


COMPUTER/SOFTWARE AUTHORIZATION SIGNATURE                               DATE


Commodity Code     Document Acct    Commodity Acct   Fixed Asset Type   Useful Life           Notes:

                          Check correct box

								
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