email address for return receipt
Maypearl Intermediate Purchase Requisition
*
DATE:
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TO:
SHIP VIA:
DATE REQUIRED:
*
QUANTITY
U/M
DESCRIPTION
UNIT PRICE
ENCUMBRANCE AMOUNT
DISCOUNT:
If Applicable
SHIPPING/HANDLING
If Applicable
*
TOTAL
REMARKS
Funding/Distribution Information **Enter only once if account coding same for all items.
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FUND
FUNC
CLASS/OBJ
SUB OBJ
ORG NO
PROG PROJ
AMT/DIST
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Requested By:
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Campus/Department
Principal: Janet Stinson
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Indicates Response Required
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