PurchaseRequisitionForm
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ABCDEFGHIJKLMNOPQRSTUVWXYZ
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Purchase Requisition
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Giles County Board of Education
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142
270 Richland Drive, Pulaski, TN 38478
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Phone 931.363.4558 Fax 931.363.8975
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Requested byVendor
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Authorized by
Address
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Date
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Account CodeContact
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P. O. NumberPhone
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SchoolE-mail
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School's BEP Account Fax
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*Please deliver to address below (if different)
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CTEOther
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Custodial
Sped
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Instruct.
Title
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Maint.Transp.
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Quantity
Description
Unit Price
Total
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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Product Total$0.00
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Shipping/Handling$0.00
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Other$0.00
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Grand Total$0.00
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Teacher's Signature
Date
Supervisor's Signature
Date
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Principal's Signature
Date
Director of Schools/Designee Signature
Date
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Initial Release: 07/08/2015
Revision Level D: 02/16/16
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