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					                               MESA UNIFIED SCHOOL DISTRICT NO. 4
                                                VERBAL/WRITTEN QUOTE SUMMARY SHEET
                                            Minimum 3 verbal quotes required for items/services costing at least $5,000 but less than $15,000.
                                           Minimum 3 written quotes required for items/services costing at least $15,000 but less than $30,000.

                          Use this form to summarize quotes received and to recommend vendor for award.

Name:_______________________________________       Dept/School:____________________________________________ Phone:______________________________

Signature of Person Obtaining Quotes:________________________________________________________________________________________________________

Item/Service Requested:______________________________________________________________________________________________________________________

Note: If you are unable to obtain 3 quotes, contact the Purchasing Department at (480) 472-0140.

 #          Date                 Vendor Name                       Contact Person                 Phone Number           Total $ Amount Quoted
 1
 2
 3
 4
 5
Recommended Vendor:_____________________________________________________________
(If you are recommending other than low quote, you are required to provide written justification as to why low quote was not selected):


____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

Purchasing Acknowledgement:_____________________________________________ Date:_______________________

Attach this form and written quotes obtained to your requisition for submittal to Purchasing. Questions may be
directed to the Purchasing Department at (480) 472-0140.



87be2add-4ee5-45d9-87c7-0b9081eea40c.doc                                                                                                          02/22/08

				
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