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Department Requisition No. Purchase Order No.

PURCHASE REQUISITION
Material Requested By (name of individual) Date
SEWANHAKA CENTRAL HIGH SCHOOL DISTRICT
VENDOR CODE #
Recommend Purchase From : SHIP TO SOURCE OF INDICATED PRICE
ATS NHP DIRECT QUOTE
Address: LAST BID PRICE
ELM SHS
PREVIOUS ORDER
SHS
Zip Code FPM ANNEX CATALOG DATE
HFC ADM ESTIMATE

Unit
Quan. Specifications Sufficient for Bidding Price Amount Code

Shipping & Handling:

Grand Total:
There is sufficient appropriation in my budget
to cover payment of the items specified.

(Department Head) (Director or Coordinator) (Building Principal)

PER OUR STATE OR COUNTY CONTRACT NUMBER:


SPECIFICATIONS OF

YOUR DID OF EXPIRATION DATE: DATE APPROVED BY BOARD OF EDUCATION

OUR AWARD OF APPROVED BY BUDGET YEAR:

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