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Purchasing Request
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Employee Name: *
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Date: *
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DD
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YYYY
*** If item is $500 or more, we must receive the committee approved Purchase Form, and if it is an I.T. related item we must have the I.T. Recommendation Form
Department: *
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GL code(s) provided by Department Head: *
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Quantity *
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Description of what you need or link *
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Quantity
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Description of what you need or link
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Quantity
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Description of what you need or link
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Department Head approves purchase: *
Required
Notes:
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Administration USE ONLY
Below is for administration use only. Please leave blank.
Is the order complete?
Date Ordered:
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