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Request Date:Purchase Request Payment Details:
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School:Check #:
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Activity Account:Check Date:
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Vendor Name:Amount Paid: $
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Street Address:PO #
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City:MUNIS # (Non-Bank Only)
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State:
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Zip Code:ORG - OBJ - PROJ
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MODEL PROCUREMENT:
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Bid Law
Non-Competitive D&FPurchase less than $5,000IntergovernmentalN/A
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Bid #
Small Purchase D & FSponsor made reasonable pricing determination
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(ATTACHED)
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PURCHASES:
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QuantityItem(s)Unit Cost ($)Total ($)
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Total: $ -
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APPROVALS:
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By signing below, I authorize this order and have verified there are sufficient funds available for this purchase.
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Hand-written signatures and date ONLY (not typed)
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Requested By:
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(Sponsor Requesting Purchase)
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Bookkeeper Review:
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(Certifies funds are available/being collected)
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Principal Signature:
Date Approved:
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Updated August 2026
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