Purchase Order Request Form PLATTE COUNTY MISSOURI DATE REQUESTED by nvz15965

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									                           Purchase Order Request Form
                    PLATTE COUNTY, MISSOURI
                                 DATE REQUESTED:

                                                  PO #:

                                           VENDOR #:




TO:




FROM:




                                              ACCOUNT NO                 UNIT
 QTY                ITEM               FUND      DEPT    ACCT           PRICE       AMOUNT




Purpose of expenditure:                                                                       .



                                       __________________________________________
                                                          REQUISITIONING OFFICIAL




                                                                                    Rev. 3/2008

								
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