Microhouse Material Requisition Form V.09-15-13
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Microhouse MaterialRequisition Form V.09-15-13Form #:102
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Name of Individual RequestingMarcin JakubowskiSupervisor's Signaturen/aCard Issued
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(yes/no - bank name)
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Date Requested9/15/2013Supervisor's NameMarcin JakubowskiCard Returned
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(initials)
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Date Needed9/17/2013DateReciepts Submitted
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(initials)
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Estimated Total405.42Expense Limit
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VendorItemQuantityTotal Est. CostCommentsTrack #/ Received/ Accepted
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APAC  816.632.2319A full truck of 3/4" gravel, washed (about 16 tons)18 tonsOrdered on Sept 18, Staff notified via emailArriving on Sept 23, APAC will call prior to delivery
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PurposeSupervisor's Notes
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