The University of Sydney

Pathology Department
NSW 2006 Australia ABN 15 211 513 464 Order Number: DRPATH 6322
REQUEST FOR ORDER
Purchase Orders are not to exceed $5,000.00 (Departmental Orders)

External Orders are greater than $5,000.00 (Raised by Purchasing Office - via our Finance Office) Date: 14.2.2017

Web Address : sigmaaldrich.com (person placing the order) Lina

Suppliers Full Name: Sigma-Aldrich Deliver to: Vera Richardson
Suppliers Address: PO Box 970 Room 556, Level 5
Castle Hill NSW 1765 Department of Pathology
AUSTRALIA Blackburn Building, D06
Phone: 1800800097 University of Sydney NSW 2006
Fax: 1800800096
SUPPLIER PLEASE SUPPLY MSDS DOCUMENTATION WERE APLICABLE

PHONE Vera 9351-6144

FAX 9351-3429
Supervisor signature __________________________ E-mail vera.richardson@sydney.edu.au
(sign if applicable)
GST Status must be shown: T for GST Taxable, E for GST-Exempt (items which fall outside the GST Legislation, and are not reported on the BAS)
AMOUNT GST AMOUNT CLASS
Qty Part # Description Unit Price GST
(GST exclusive) T or E (GST inclusive) CODE RC PROJECT

1 M7571-5MG MK-571 sodium salt hydrate $128.35 $128.35 T -$ 12.84- -$ 141.19- 5010 K2004
Delivery = $20

BELOW * = all need details completed, Print & Sign it ! -$ 128.35- -$ 12.84- -$ 141.19-

Card No: 4715 2766 5753 8918 NAB VISACARD

Expiry date : 12/18 Phone # :(02) 93516144 FAX (02) 9351 3429 Please address Invoice direct to CARD HOLDER
Card Holders Name : Vera Richardson (Companies: please quote on the actual INVOICE
vera.richardson@sydney.edu.au
if PAID via VisaCard and attach receipt of credit
card transaction. Please DO NOT CHARGE this card
Signature: ________________________________________
Date Faxed to Company ___ / / 2017 UNTIL the goods have been delivered.)