UW OSHKOSH PURCHASE REQUISITION Dept Requisition
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UW OSHKOSH PURCHASE REQUISITION Dept Requisition #:
Date:
Submitted by: Phone: Email: Requested for Dept Contact Phone: Email:
Vendor ID#: If new vendor submit W-9 Form Vendor Phone: Vendor Name: Order Fax: Address: Order Email:
Quote By:
IT Help Desk Tkt #: Quote #: Contract #:
Fun Account Fund Department Program Amount Freight (FOB) Terms d 1 0.00 Destination 2 0.00 Destination + 3 0.00 Shipping Point 4 0.00 Pick up 0.0=SUM(ABO Other Total VE)
Ordering/’Ship To’ Dept: Building: Room #:
COMMENTS:
U n Line Description & Item Number Unit Price Ext Total Fund # i t 1 0=B2*E2
2 0=B3*E3
3 0=B4*E4
4 0=B5*E5
5 0=B6*E6
6 0=B7*E7
7 0=B8*E8
8 0=B9*E9
9 0=B10*E10 10 0=B11*E11 0.0=SUM(AB Total OVE)