P Req Template

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University of Alberta Purchase Requistion 1. Please give complete catalog descriptions and/or vendor's catalog numbers to fully identify your requirements. Attached any additional information to this form. 2. Written quotations may be obtained at the discretion of the purchasing division. 3. Supplier address should always include the postal code (Canada) or zip code (U.S.). 4. Indicate date required. Please do not write in shaded areas. Vendor code: Requisition number: ME This is not an order. Date: Suggested suppliers: Order Number: F. O. B. Point: [ ] Shipping Point [ ] University of Alberta Payment terms: [ ] Net 30 days Deliver to: Mechanical Engineering Rm. 1-19 Mechanical Eng. Bldg. G. S. T.: Duty: Buyer: Quotes or Tenders Due: [ ] Free [ ] Extra [ ] Included Individual: Date required: Quantity & Unit: Catalog #: Description & unit price: Price: Sub-total GST 7% For information call: Charge to Speedcode-account #: Department: Telephone: Estimated total value: Authorized signature: $0.00 $0.00 $0.00 X Mechanical Engineering Rm. 4-9 Mech Eng Bldg. This form is for internal use only. Please mail or deliver to Supply Management Services. Please note this is a general list and funding should be spent in accord with budget specific to each project or grant. Expense accounts: 502101 502112 502115 502121 502124 502127 502131 502137 502141 502143 502155 502158 502161 502164 502171 502173 502175 502185 502188 502197 502201 502203 502206 502301 502306 502311 502321 502324 502331 502341 502343 502345 502347 502416 502444 502447 Supplies & Materials - General Cleaning & Janitorial Supplies Chemicals & Drugs Radio-Active Material Gas, Compresd Liquid & Dry Ice Specimens - Biological Medical Supplies Shop/Hardware Materials Glassware Linen/Towels Electronic Supplies & Services Graphics Photography Audio-Visual Aids & Services Lab Supplies Lab Accessories/Hardware Lab Coats/Uniforms Memberships - Individual Memberships - Institutional Computing Site Licenses Paper Goods Publications Purchased Subscriptions Computing Supplies Computing Support & Services Computing Mtce. Agreements Printing Supplies Printg, Reprints, Dup & Phcopy Stationery, Off & Phcopy Sup Equipment (< $1000) Computing Hardware (< $1000) Network Connections Furniture (< $1000) Sample Analysis Freight,Express And Delivery Custom and Duty Charges 502468 502471 502474 503001 503006 503011 503016 503201 503206 503211 503216 503221 503231 503236 503241 503261 503401 503406 503411 503421 503431 504011 504013 507001 507002 507005 507021 507025 507041 507201 507211 507215 507221 507311 507312 507313 Parking - Paid on behalf Parking - visitor permits etc Permits - Coupons etc Communications Postage Courier Telephone Long DistToll &Tel Air Fare Ground Transportation Vehicle Rental Private Auto Other Transportation Mode Accommodations Meals Registrations Courses Traing Hosting Repairs & Maint-Equipment Repairs & Maint- Furniture Repairs & Maint- Vehicles Repairs & Maint- Facilities Repairs & Maint- Janitor Serv Rentals&Leases- Other Equip. Rentals & Leases - Vehicles Equipment (More Than $1000) Equipment Installation Hyperbus Installation Computer Software Equip-Computer Hdw (> $1000) Furniture (> $1000) Books Periodicals- Current Periodicals-Renewals Book Binding Slides Films, Video,Tapes, Fiche Published Tapes, Records CD's

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