DocuSign Envelope ID: CC50DBEF-B76B-43F1-936A-C7284302269E

Office Use Only

Purchase Order
Request Form

Vendor Name:  Groupe Access Send PO Via:

 Fax: 
If new vendor, please provide new vendor information below:
 Email: denis.deslandes@calecanada.ca

Address:  8270 Mayrand, Mtl, Qc H4P 2C5

 Online Order via Website:
Telephone: 514-288-6000 Fax:  514-288-7800 

Contact Name:  Michel Laurent  Confirmation Only; Already Ordered

Ship Via:
Please Select One:
 Delivery By Vendor  Will Be Picked Up
 Stock
 Vendor Will Ship  Precise to Arrange Shipping
 For Order #: 
 Vendor Will Email
 Other (please specify): For Flowbird

Vendor Product # Description # Units Unit Price ($) Total Price ($)
1 ST8000VN004 SEAGATE IRONWOLF 8TB 3.5 SATA HDD 7200 256MB 2 $ 279.00 $ 558.00

2 $ 0.00

3 $ 0.00

4 $ 0.00

5 $ 0.00

6 $ 0.00

7 $ 0.00

8 $ 0.00

9 $ 0.00

10 $ 0.00

Clear Chart Total $ 558.00

Special Instructions For Vendor Special Instructions For Receiver

Delivery Instructions

 Toronto Office - 100 Floral Pkwy  Ottawa Office - 161 Colonnade Rd

 Toronto Office - 36 Milford Ave  Vancouver Office - 6993 Antrim Ave
 Toronto Office - 23 Raitherm Rd  Other: Brossard Office - 9005 Blv Du Quartier

Date Requested: 10 December 2020 Requested By: Denis Deslandes Approved By:  12/10/2020

Mar0619