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Purchase Request Form

Month:
___April___________

Requested By: Phone: Date: Department:


Robin Luo 4/1/2021 Wilson

Items Needed Quantity Description Store/Website Sub Total Total

Electronic 1 Amazon
Thermometer

Red Timers 7 Amazon

3D Puzzles 6 Melissa and Doug Amazon


Chunky Puzzles

Velcro strips (Soft Amazon


and Hard back)

Velcro Sticky Dots Amazon


(Soft and Hard Back)

Mini Binder PECS 5 Amazon


Books

Purchasing Department Only Sub Total Total

Date Ordered:

Approved By: P.O Number:

Aces for Autism 925 Conference Dr. Greenville, NC 27858


Aces for Autism 925 Conference Dr. Greenville, NC 27858

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