ESOL PURCHASE REQUISITION FORM Instructions A purchase requisition must be completely filled out by the staff me by kpc16389

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									                                ESOL PURCHASE REQUISITION FORM

                                                    Instructions
A purchase requisition must be completely filled out by the staff member requesting services or merchandise. An
approval from the ESOL Office must be obtained prior to the issuance of purchase order or items being
ordered.

       ______________________________________________________________________________
                                                   (School Name)

       ______________________________________________________________________________
                                          (Staff Member Requesting Services)

VENDOR: ___________________________________________________________________________________

VENDOR’S ADDRESS: ________________________________________________________________________

PHONE #___________________________________________ FAX # ___________________________________

PURPOSE OF PURCHASE: ____________________________________________________________________



         Item #            Quantity                  Item Description                     Unit Cost       Total




                                                                               TOTAL COST $:          ___________




___________________________________                                _________________
(Teacher Signature)                                                (Date)


___________________________________                                _________________
(ESOL Department Administrator Approval)                           (Date)

								
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