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Dell 4gb Memory Module - 12-01-14 - Ic
Dell 4gb Memory Module - 12-01-14 - Ic
Purchase Requisition
This form must be prepared for all requested purchases.
Date:
Vendor:
12/1/2014
School: HHS
DELL
Program Area:
Address:
City/State/Zip:
Ship to:
Address:
City/State/Zip:
X Supplies
Computer Software
Computers
Books/Periodicals
Maintenance
Hiram,GA 30141
Other
Attention:
Debbie Routt
FAX NO.
770-439-5053
Principal's Signature:
Vendor copy:
Instruct. Equipment
Vocational Lab
1-3
Non-voc Lab
Sp. Ed. IV
4-5
Rem. Ed.
Media
6-8
Gifted
Staff Development
9-12
Sp. Ed. I
Other
SIA
Sp. Ed. II
ESOL
RETURN TO LOCATION
Item Number
Quantity
90
Unit
ea
Description
4 GB PC3-10600 CL( 1333 LP DDR3 240-pin DIMM
Memory Module (A5495865)
Quote #695747978
Allie Rolison
Unit Cost
47.49
Total Cost
4,274.10
$
4,274.10
Approved By:
_____________________________
Acct. #
100-4-1000-
Date:
_____________________________