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Indivisible LRCA Purchase Request
You must use this form for any expenditure over $50.
Email address *
Your First and Last Name *
Your answer
Today's Date *
MM
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DD
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YYYY
Classification of Purchase *
Select the category that best describes how the donation will be used. You may only select one classification per form.
Description of Item/s to be Purchased *
Your answer
Place of Purchase *
Your answer
Total Purchase Price, including tax & shipping *
Your answer
How was Council notified? *
Your answer
Select Council members who approved *
You must have the approval of three (3) Council members, not including yourself if you serve on Council.
Other Information?
Provide any addition information regarding this PURCHASE REQUEST. THANKS!!
Your answer
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