email address for return receipts
Maypearl Technology Purchase Request
TO:
DATE:
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.
FUND
FUNC
CLASS/OBJ
SUB OBJ
ORG NO
PROG PROJ
AMT/DIST
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Requested By:
Campus/Department
Indicates Response Required
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