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CANYON ISD REQUISITION FORM
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THIS SECTION RESERVED FOR USE BY DATA ENTRY PERSONNEL ONLY
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Vendor Number:___________________
Data Entry Date:____________________ Data-Entry USER-ID:_____________________
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Vendor Name:________________________________________
SHIP TO' Location Code:____________________________
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Requisition Date:____________________________
Attention:________________________________________
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(Name of person submitting this requisition)
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Date Required:______________________________
Reference:_______________________________________
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SPECIAL HANDLING OR FAX INSTRUCTIONS
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If any documentation (I.e. Order Blanks, Order Forms, letters, etc.) must accompany your Purchase Order form when sent to the vendor, be sure to enter the code "S/H" in the Reference field above. If hyou require the Vendor Copy of the P.O. for purposes of FAXing, enter the code "FAX" in the Reference field above. Either code will ensure that you receive the Vendor Copy back from the Business Office, instead of being mailed to the Vendor.
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Campus ID:____________________________
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Req. Submitted By:_____________________________________
Blanket Amount $_________________________________
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(Signature of person submitting requisition)
(Use ONLY if NOT itemizing cost of each part)
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Approved By:_______________________________ Date:__________
Requisition Freight $_______________________________
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(Signature of person approving requisition)
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ITEMOrder QuantityUnit Meas.Item DescriptionUnit CostUnit Discount $ or %Unit Net CostTotal CostACCOUNT NUMBER
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FundFuncObjectSub-Obj.OrganizationPgm CodeEd SpnProj Detail
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1$0.00
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2$0.00
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3$0.00
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4$0.00
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5$0.00
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6$0.00
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7$0.00
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Form REQ - 200 6-91
$0.00
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Canyon Independent School District
REQUISITION TOTAL COST
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