UNIVERSITY of MARYLAND at COLLEGE PARK

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UNIVERSITY of MARYLAND at COLLEGE PARK

UNIVERSITY OF MARYLAND at COLLEGE PARK THIS IS NOT AN ORDER. REQUISITION FOR PURCHASE

REQ NO. FRS NO.-SUBCODE FISCAL YR. REFERENCE BID NO. OR CONTRACT NO.

Dept:

FEI # VENDOR NAME DELIVER TO: University of Maryland / IREAP VENDOR ADDRESS ADDRESS 1203B Energy Research, Bldg. 223 8279 Paint Branch Drive CITY / STATE / CITY / STATE / College Park, MD 20742-3511 ZIP ZIP PHONE/CONTACT PHONE / CONTACT (301) 405-5039 Nancy Boone

SEND PO DEPT. –CAMPUS ADDRESS ATTN: DATE DESIRED COPIES TO IREAP / UMCP 1203B Bldg. 223 Paint Branch Drive Nancy Boone CITY STATE ZIP CODE DEPT. CONTACT FOR BUSINESS MATTERS PHONE College Park MD 20742-3511 Nancy Boone 301-405-5039 AUTHORIZED FUNDS ARE AVAILABLE. IN ACCORDANCE WITH FEDERAL OMB CIRCULAR EMAIL A-110 , EQUIPMENT HAS BEEN SCREENED AND IS NOT AVAILABLE FOR OUR USE. [email protected] PRINT DEPT. AUTHORIZER NAME DEPT/SUB DEPT CODE DEPT. CONTACT FOR TECHNICAL MATTERS PHONE Judi Cohn Gorski IREAP EMAIL

DEPT. APPROVED SIGNATURE APPROVED DATE

ITEM DESCRIPTION OF ARTICLES OR SERVICES QUANTITY UNIT UNIT PRICE AMOUNT SUB NO. CODE

TOTAL IF ADDITIONAL SPACE IS NEEDED, OR TO CONVEY SPECIAL REQUESTS TO

APPROVED

BUYER PO# THE BUYER, PLEASE STAPLE A SEPERATE SHEET TO THE REQUISITION

APPROVED

BUYER PO#

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