Laserfiche WebLink
10EQUEST <br />14 / (/ I L <br />I—A 8c5 <br />60 &2� � <br />a � nv�, i vnw t,vrcr. <br />TO PURCHAW <br />-- <br />RTP 18904 <br />ACCOUNT NUMBER <br />2 <br />7 22— <br />CONFIRMING <br />YES 0 N <br />PURCHASEbflDER NUMBER <br />;gig <br />ROUTE TO <br />DATE <br />1 -/,a- <br />a- <br />BUYER <br />VENDOR CODE: <br />COM. CODE RTP <br />NO.. <br />RFO NO. <br />APPLICABLE ATTACHMENTS <br />GOVT CONTRACT NO. <br />PRIORITY NO. <br />ORDER PLACED: <br />DATE: <br />S <br />� ?LO <br />"'� Ll/� C// � _L{• <br />TELEPHONENO. D[-]� <br />F.O.B. POINTSHIPVIA: <br />QUALITY REQUIREMENTS <br />QCPR DATED: <br />SOLE SOURCE <br />OYES ONO <br />TERMS'. <br />� 5O <br />RESALE <br />YES <br />rVM <br />QUANTITY <br />UNIT <br />PART NUMBER <br />REV. <br />PROVIDE SPECIFIC DESCRIPTION FOR EACH ITEM <br />BUDGET PRICE <br />UNIT/ TOTAL <br />:PURCHASING <br />QUANTITY <br />DUE DATE <br />ITEM <br />QUANTITY <br />DUE DATE <br />SPECIAL INSTRUCTIONS: <br />INSTRUCTIONS FOONLY: <br />ORIGINATORW e ewt;2 <br />OA APPROVAL _ <br />DEPT.APPROVAl <br />A -2j nil <br />y^�.ING <br />BUYER <br />MANAGEMENT <br />NOTE: ORIGINATOR MUST COMPLETE ALL NON -SCREENED AREAS. <br />FORM PAR M026 PURCHASING FILE COPY <br />WALKERBUSINESS FORMS (208)'1741616 <br />MlN (&8l) <br />