Microhouse Material Requisition Form V.09-15-13

	A	B	D	E	F	G	H	I
1	Microhouse MaterialRequisition Form V.09-15-13						Form #:	102
2
3
4	Name of Individual Requesting	Marcin Jakubowski	Supervisor's Signature	n/a		Card Issued
5		Marcin Jakubowski		n/a
6							(yes/no - bank name)
7	Date Requested	9/15/2013	Supervisor's Name	Marcin Jakubowski		Card Returned
8		9/15/2013		Marcin Jakubowski
9							(initials)
10	Date Needed	9/17/2013	Date			Reciepts Submitted
11		9/17/2013
12							(initials)
13	Estimated Total	405.42	Expense Limit
14		405.42
15
16	Vendor	Item			Quantity	Total Est. Cost	Comments	Track #/ Received/ Accepted
17	APAC 816.632.2319	A full truck of 3/4" gravel, washed (about 16 tons)			18 tons		Ordered on Sept 18, Staff notified via email	Arriving on Sept 23, APAC will call prior to delivery
18
19
20
21
22
23
24
25
26
27
28	Purpose				Supervisor's Notes
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92