University of Alaska Fairbanks - DOC by sj4oCq9a

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									                                 University of Alaska Fairbanks
                                       Student Services
                             PURCHASE REQUISITION

                                               Ship To:
   Fund           Org.   Acct.    Amount       Dept:
                                               Address:

                                               Phone#:
                                               Email:
                                               Ship Method:
                                               Date Needed:

Vendor:                                                      For Office Use Only
Address:                                       Encumbrance #:
                                               Call #:
                                               Req #:
City/State/Zip:
                                               Credit Card:        Y          N
Phone:                                         Name on Card:
Fax:                                           Date Ordered:
                                               Confirmation #:
                                               Order Taken By:


Description                          Item Number     Quantity     Unit   Price     Total




Requested By:________     Director Approval:__________     Budget Approval:__________

								
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