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					PURCHASE REQUISITION WORKSHEET
Jet Propulsion Laboratory California Institute of Technology 4800 Oak Grove Drive Pasadena CA 91109-8099

Type: Number: Description: Requestor: Requestor's Phone: Requestor's Org.: (Deliver to) Location: Source: Supplier: Site City: Phone: Contact: Total:

PURCHASE REQUISITION digital camcorder for documentation of rover testing Richard Volpe 818-354-6328 345 198-205 Supplier AAA camera 113 West 17th Street, NY NY 10011 800-221-9521

$

1,883.40

Line Number Good 1 Good 2 Good 4 Good 5 Good 6 Good Good 7 Good Good Good Good 12 Good Good TYPE

Type

Category Audio/Visual | Default | Audio, Facsimile, Radio, Recording, Telephone

Line Description

UOM Each | Quantity

Qty

Price

Sony Digital Camcorder DCR-PC110
Audio/Visual | Default | Audio, Facsimile, Radio, Recording, Telephone Each | Quantity

1 1
Each | Quantity Each | Quantity Each | Quantity Each Select |"Unit | Class" Quantity Each | Quantity Each | Quantity Each | Quantity Each | Quantity Each | Quantity Each | Quantity Each | Quantity Select "Unit | Class"

##### $110 $80 $120 $11 $50 $140 $100 $20

Sony 64 megabyte Memory Stick (MSA 64A)
Audio/Visual Audio/Visual Audio/Visual Audio/Visual Audio/Visual | | | | | Default Default Default Default Default | | | | | Audio, Audio, Audio, Audio, Audio, Facsimile, Facsimile, Facsimile, Facsimile, Facsimile, Radio, Radio, Radio, Radio, Radio, Recording, Recording, Recording, Recording, Recording, Telephone Telephone Telephone Telephone Telephone Telephone Telephone Telephone Telephone Telephone Telephone

6 hour Lithium Ion Battery (NPFM70 ) AC adapter / quick charger (AC-VQ800) blank digital recording tapes Sony carrying case (LCM-PCA)

2 1 5 1 1 1 1 1 1 1

Audio/Visual | Default | Audio, Facsimile, Radio, Recording, Audio/Visual | Default | Audio, Facsimile, Radio, Recording, Audio/Visual | Default | Audio, Facsimile, Radio, Recording, Audio/Visual | Default | Audio, Facsimile, Radio, Recording, Audio/Visual | Default | Audio, Facsimile, Radio, Recording, Audio/Visual | Default | Audio, Facsimile, Radio, Recording, Select "Acquisition Major | Acquisition Minor | Description"

UV lens filter

Page 1

Acquisition Division Requisition Worksheet R 3/4/98

Under Notes to Buyer: 1) Funds Approval: identify funds cognizant approval authority under Notes to Buyer by name and confirm that approval has been provided (example: John Doe Supervisor of Group 3812 is the funds cognizant approval authority for this action and has given approval); or if you have been delegated authority state that you are the approval authority 2) For follow-on procurements, CWOs, ORDER Releases: put related contract number and buyer in first part of item "Header Description", "Line Description" and in "Notes to Buyer" fields. 3) List any pre-approval control points Stationary trailers/maintenance equipment Vehicles/mobile trailers Campus services Radio Frequency equipment Printing/copying and associated equipment Reprints and manuscript publication

Need-by date

Total Amount

Note to Buyer

Buyer

Supplier Item

Project

Task

Type IA-PROCUREMENTS | Each

Org

18-May-01 $ 18-May-01 $ $ 18-May-01 $ $ $ $ $ $ $ $ $ $ $

http://www.aaacamera.com/sony_dcrpc110_digit 1,129 al_camcorder.html
110 160 120 55

100097 RMSA.R.2
IA-PROCUREMENTS | Each

345 345 345 345 345 345 345 345 345 345 345 345 345 345

100097 100097 100097 100097 100097

RMSA.R.2 RMSA.R.2 RMSA.R.2 RMSA.R.2 RMSA.R.2 RMSA.R.2 RMSA.R.2 RMSA.R.2 RMSA.R.2 RMSA.R.2 RMSA.R.2

http://www.sonystyle.com/sonystyle/4784/4785/5
50 921/8068/8414.default.html 140 100 20 100097 100097 100097 100097 100097 100097

IA-PROCUREMENTS IA-PROCUREMENTS Expenditure Type | Expenditure Type | Expenditure Type | Expenditure Expenditure Expenditure Expenditure Expenditure Expenditure Expenditure Type Type Type Type Type Type Type | | | | | | |

| Each | Each Unit of Measure Unit of Measure Unit of Measure Unit Unit Unit Unit Unit Unit Unit of of of of of of of Measure Measure Measure Measure Measure Measure Measure

Page 2

Acquisition Division Requisition Worksheet R 3/4/98

Unit Centimeter Day Decimeter Dollars Dozen Each Foot Gallon Gram Gross Hour Inch Kilogram Linear Foot Meter Milligram Millimeter Minute Month Ounce Pair Pint Pound Quart Square Foot Square Inch Square Yard Ton Week Yard Year

Class Metric Lgt Time Metric Lgt Quantity Quantity Quantity Length Volume Metric Wgt Quantity Time Length Metric Wgt Length Metric Lgt Metric Wgt Metric Lgt Time Time Volume Quantity Volume Weight Volume Area Area Area Weight Time Length Time

Select "Unit | Class" Centimeter | Metric Lgt Day | Time Decimeter | Metric Lgt Dollars | Quantity Dozen | Quantity Each | Quantity Foot | Length Gallon | Volume Gram | Metric Wgt Gross | Quantity Hour | Time Inch | Length Kilogram | Metric Wgt Linear Foot | Length Meter | Metric Lgt Milligram | Metric Wgt Millimeter | Metric Lgt Minute | Time Month | Time Ounce | Volume Pair | Quantity Pint | Volume Pound | Weight Quart | Volume Square Foot | Area Square Inch | Area Square Yard | Area Ton | Weight Week | Time Yard | Length Year | Time

Acquisition Major Audio/Visual Audio/Visual Building Cable & Wire Computer Computer Computer Computer Computer Consulting Consulting Contractor Labor Contractor Labor Contractor Labor Cryogenic Default Electrical Non JIT Electronics Non JIT Fabrication Fabrication Fabrication Material Fiber Optics Furniture Hazardous Matl Hazardous Matl Hazardous Matl Heating and A/C Heating and A/C Instr and lab Equip Instr and lab Equip Inventory Leases and Rentals Machinery Equip Machinery Equip Medical Non Hazardous Matl Office Equip Office Equip Office Supplies Non JIT Packaging Photographic Equip Photographic Equip Plumbing Non JIT Safety and Security Equip Services Services Services Services Services Services

Acquisition Minor 25K Unit Cost Default Default Default 15K H/W Unit Cost Hardware Hardware Maint Software Software Maint Fee Non Fee Non Resident Task Personnel Resident Task Personnel Support Effort Personnel Toxic Default Default Default Electrical Mechanical Default Default Default Acute Chemicals/Liquid Solids 25K Unit Cost Default 25K Unit Cost Default Default Default 25K Unit Cost Default Default Default 25K Unit Cost Default Default Default 25K Unit Cost Default Default Default Construction Interdivisional Authorization Maintenance Non Professional Non R & D Contract Professional

Services Services Tools Non JIT Training and classes Uniforms Vehicles Vehicles Written Matl

R & D Contract Warranty Default Default Default 25K Unit Cost Default Default

Description A/V Equipment> 25K Unit Cost Audio, Facsimile, Radio, Recording, Telephone Equipment & Supplies (exterior, interior, grounds) Materials and Supplies (cable, chain, rope, wire) Computer Hardware> 25K Unit Cost Computer Hardware Computer Hardware Maintenance Computer Software Computer Software Maintenance Fee Consultant Non-Fee Consultant Non-Resident Task Personnel Contractor Labor Resident Task Personnel Contractor Labor Support Effort Personnel Contractor Labor Toxic Gases Default Category Code Batteries, converters, generators, motors, etc Electronic Components, Materials & Supplies Electrical Fabrication Mechanical Fabrication Raw Glass, Metals, Paper, Plastics, Rubber Cables, Conductors, Devices, Harnesses, Interconne Conference, Ergonomic, Standard, Modular, Executiv Explosive, Radioactive, Poison Gas Hazardous Chemical Liquids Hazardous Solids Heating & A/C Equipment> 25K Unit Cost A/C, Heating, Drying, Refridge, Steam Material Instrument & Lab Equipment> 25K Unit Cost Drafting, Electrical, Electronic, Flight, Optical Default Inventory Category Bldg, Real Estate, Equip, Exhibit Space, Furniture Machinery Equipment> 25K Unit Cost Maint & Repair, Mechanical, Metalworking Medical Equipment & Supplies Non-hazardous Material Not Otherwise Specified Office Equipment> 25K Unit Cost Office Machines, Calculators, Typewriters Awards, Displays, Plaques, Signs Containers, Gas Cylinders, Storage Devices, Suppli Photographic Equipment> 25K Unit Cost Cameras, Projection Devices, Supplies Plumbing Supplies & Materials Fire Alarm, Fighting, Safety & Rescue, Security Su Construction Services Caltech Work Order Activities General Maintenance (exclude ADP hdwr & sw) Non-professional Services Non-R & D Contract Services Professional Services

R & D Contract Services Warranty Services Tools & Supplies, Measuring, Power, Hand Professional Development and Training Badges, Clothing, Flags, Footware, Textiles Vehicles> 25K Unit Cost Autos, Trucks, Trailers, Tractors, Vans, Supplies Books, Maps, Newspapers. Periodicals, Reprints

Select "Acquisition Major | Acquisition Minor | Description" Audio/Visual | 25K Unit Cost | A/V Equipment> 25K Unit Cost Audio/Visual | Default | Audio, Facsimile, Radio, Recording, Telephone Building | Default | Equipment & Supplies (exterior, interior, grounds) Cable & Wire | Default | Materials and Supplies (cable, chain, rope, wire) Computer | 15K H/W Unit Cost | Computer Hardware> 25K Unit Cost Computer | Hardware | Computer Hardware Computer | Hardware Maint | Computer Hardware Maintenance Computer | Software | Computer Software Computer | Software Maint | Computer Software Maintenance Consulting | Fee | Fee Consultant Consulting | Non Fee | Non-Fee Consultant Contractor Labor | Non Resident Task Personnel | Non-Resident Task Personnel Contractor Labor Contractor Labor | Resident Task Personnel | Resident Task Personnel Contractor Labor Contractor Labor | Support Effort Personnel | Support Effort Personnel Contractor Labor Cryogenic | Toxic | Toxic Gases Default | Default | Default Category Code Electrical Non JIT | Default | Batteries, converters, generators, motors, etc Electronics Non JIT | Default | Electronic Components, Materials & Supplies Fabrication | Electrical | Electrical Fabrication Fabrication | Mechanical | Mechanical Fabrication Fabrication Material | Default | Raw Glass, Metals, Paper, Plastics, Rubber Fiber Optics | Default | Cables, Conductors, Devices, Harnesses, Interconne Furniture | Default | Conference, Ergonomic, Standard, Modular, Executiv Hazardous Matl | Acute | Explosive, Radioactive, Poison Gas Hazardous Matl | Chemicals/Liquid | Hazardous Chemical Liquids Hazardous Matl | Solids | Hazardous Solids Heating and A/C | 25K Unit Cost | Heating & A/C Equipment> 25K Unit Cost Heating and A/C | Default | A/C, Heating, Drying, Refridge, Steam Material Instr and lab Equip | 25K Unit Cost | Instrument & Lab Equipment> 25K Unit Cost Instr and lab Equip | Default | Drafting, Electrical, Electronic, Flight, Optical Inventory | Default | Default Inventory Category Leases and Rentals | Default | Bldg, Real Estate, Equip, Exhibit Space, Furniture Machinery Equip | 25K Unit Cost | Machinery Equipment> 25K Unit Cost Machinery Equip | Default | Maint & Repair, Mechanical, Metalworking Medical | Default | Medical Equipment & Supplies Non Hazardous Matl | Default | Non-hazardous Material Not Otherwise Specified Office Equip | 25K Unit Cost | Office Equipment> 25K Unit Cost Office Equip | Default | Office Machines, Calculators, Typewriters Office Supplies Non JIT | Default | Awards, Displays, Plaques, Signs Packaging | Default | Containers, Gas Cylinders, Storage Devices, Suppli Photographic Equip | 25K Unit Cost | Photographic Equipment> 25K Unit Cost Photographic Equip | Default | Cameras, Projection Devices, Supplies Plumbing Non JIT | Default | Plumbing Supplies & Materials Safety and Security Equip | Default | Fire Alarm, Fighting, Safety & Rescue, Security Su Services | Construction | Construction Services Services | Interdivisional Authorization | Caltech Work Order Activities Services | Maintenance | General Maintenance (exclude ADP hdwr & sw) Services | Non Professional | Non-professional Services Services | Non R & D Contract | Non-R & D Contract Services Services | Professional | Professional Services Services | R & D Contract | R & D Contract Services

Services | Warranty | Warranty Services Tools Non JIT | Default | Tools & Supplies, Measuring, Power, Hand Training and classes | Default | Professional Development and Training Uniforms | Default | Badges, Clothing, Flags, Footware, Textiles Vehicles | 25K Unit Cost | Vehicles> 25K Unit Cost Vehicles | Default | Autos, Trucks, Trailers, Tractors, Vans, Supplies Written Matl | Default | Books, Maps, Newspapers. Periodicals, Reprints

Expenditure Type IA-PROCUREMENTS IA-SUBCONTRACTS LC-CAT-ARTS O/T LC-CAT-ARTS S/T LC-CAT-A-SEC O/T LC-CAT-A-SEC S/T PO-CONSULTING&PROF SERV PO-FREIGHT PO-G-REQS PO-MATERIALS PO-MISCELLANEOUS DIRECT PO-NON PO PO-NON PO FREIGHT PO-OFFICE SUPPLIES PO-PURCHASED PLANT & FAC PO-PURCHASED TOOLS/EQUIP PO-RENT/LEASE PLANT & FAC PO-RENT/LEASE TOOLS/EQUIP PO-SALES TAX PO-USE TAX PS-CONSULTING&PROF SERV PS-FLIGHT HARDWARE&SOFT PS-FREIGHT PS-GROUND SUPP HARD/SOFT PS-INSTRUMENT DEVELOPME PS-MATERIALS PS-MISCELLANEOUS DIRECT PS-OFFICE SUPPLIES PS-PURCHASED PLANT&FAC PS-PURCHASED TOOLS/EQUIP PS-RENT/LEASE PLANT&FAC PS-RENT/LEASE TOOLS/EQUIP PS-RESEARCH & DEVELOPME PS-SCIENCE CONTRACTS PS-SUPPORT CONTRACTS PS-SYSTEM CONTRACTS

Unit of Measure Each Each Hours Hours Hours Hours Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each

Expenditure Type | Unit of Measure IA-PROCUREMENTS | Each IA-SUBCONTRACTS | Each LC-CAT-ARTS O/T | Hours LC-CAT-ARTS S/T | Hours LC-CAT-A-SEC O/T | Hours LC-CAT-A-SEC S/T | Hours PO-CONSULTING&PROF SERV | Each PO-FREIGHT | Each PO-G-REQS | Each PO-MATERIALS | Each PO-MISCELLANEOUS DIRECT | Each PO-NON PO | Each PO-NON PO FREIGHT | Each PO-OFFICE SUPPLIES | Each PO-PURCHASED PLANT & FAC | Each PO-PURCHASED TOOLS/EQUIP | Each PO-RENT/LEASE PLANT & FAC | Each PO-RENT/LEASE TOOLS/EQUIP | Each PO-SALES TAX | Each PO-USE TAX | Each PS-CONSULTING&PROF SERV | Each PS-FLIGHT HARDWARE&SOFT | Each PS-FREIGHT | Each PS-GROUND SUPP HARD/SOFT | Each PS-INSTRUMENT DEVELOPME | Each PS-MATERIALS | Each PS-MISCELLANEOUS DIRECT | Each PS-OFFICE SUPPLIES | Each PS-PURCHASED PLANT&FAC | Each PS-PURCHASED TOOLS/EQUIP | Each PS-RENT/LEASE PLANT&FAC | Each PS-RENT/LEASE TOOLS/EQUIP | Each PS-RESEARCH & DEVELOPME | Each PS-SCIENCE CONTRACTS | Each PS-SUPPORT CONTRACTS | Each PS-SYSTEM CONTRACTS | Each

Under Notes to Buyer: 1) Funds Approval: identify funds cognizant approval authority under Notes to Buyer by name and confirm that approval has been provided (example: John Doe Supervisor of Group 3812 is the funds cognizant approval authority for this action and has given approval); or if you have been delegated authority state that you are the approval authority 2) For follow-on procurements, CWOs, ORDER Releases: put related contract number and buyer in first part of item "Header Description", "Line Description" and in "Notes to Buyer" fields. 3) List any pre-approval control points Stationary trailers/maintenance equipment Vehicles/mobile trailers Campus services Radio Frequency equipment Printing/copying and associated equipment Reprints and manuscript publication

Under Notes to Buyer: 1) Funds Approval: identify funds cognizant approval authority under Notes to Buyer by name and confirm that approval has been provided (example: John Doe Supervisor of Group 3812 is the funds cognizant approval authority for this action and has given approval); or if you have been delegated authority state that you are the approval authority 2) For follow-on procurements, CWOs, 3) List any pre-approval control points Stationary trailers/maintenance equipment Vehicles/mobile trailers Campus services Radio Frequency equipment Printing/copying and associated equipment Reprints and manuscript publication

TYPE Good Non-goods Subcontracts Tax

Qty Based Amount Based Amount Based Qty Based

Good | Qty Based Non-goods | Amount Based Subcontracts | Amount Based Tax | Qty Based

PURCHASE REQUISITION WORKSHEET
Jet Propulsion Laboratory California Institute of Technology 4800 Oak Grove Drive Pasadena CA 91109-8099

Type: Number: Description: Requestor: Requestor's Phone: Requestor's Org.: (Deliver to) Location: Source: Supplier: Site City: Phone: Contact: Total:

PURCHASE REQUISITION

Supplier

$

-

Line Number

Type

Category

Line Description

UOM

Qty

Price

Under Notes to Buyer: 1) Funds Approval: identify funds cognizant approval authority under Notes to Buyer by name and confirm that approval has been provided (example: John Doe Supervisor of Group 3812 is the funds cognizant approval authority for this action and has given approval); or if you have been delegated authority state that you are the approval authority 2) For follow-on procurements, CWOs, ORDER Releases: put related contract number and buyer in first part of item "Header Description", "Line Description" and in "Notes to Buyer" fields. 3) List any pre-approval control points Stationary trailers/maintenance equipment Vehicles/mobile trailers Campus services Radio Frequency equipment Printing/copying and associated equipment Reprints and manuscript publication

Need-by date

Total Amount

Note to Buyer

Buyer

Supplier Item

Project

Task

Type

Org

$ $ $ $ $ $ $ $ $ $ $ $ $

-


				
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