Multidisciplinary Senior Design s1
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Multidisciplinary Senior Design Kate Gleason College of Engineering Purchase Requisition
This form is to be used for purchases made by Chris Fisher in the Multidisciplinary Senior Design Office or to request reimbursement for project purchases.
_Fuser Bearing Life Fixture_ ___P13505______Project Name Project Team Number
Vendor: PCB Vendor Contact: Mike Grimaldi Vendor Address: 3425 Walden Avenue
Vendor City/State/Zip Depew, New York 14043 Vendor Phone Number: 1-888-843-4648 Vendor Fax Number: 585-547-2395 Vendor Email: [email protected]
Item Qty Part Number Detailed Description Unit Price Extended Price 1 2 352C33 Accelerometer - High sensitivity, ceramic shear ICP® $270.00 $540.00 accel., 100 mV/g, 0.5 Hz to 10k Hz, 10-32 side conn. 2 2 002C10 Accelerometer Cable - General purpose coaxial cable, $37.80 $75.60 white FEP jacket, 10-ft, 10-32 plug to BNC plug 3
4
5
Sub-total $615.60 Shipping & Handling: x Standard UPS 2-Day Fed-Ex UPS Overnight Amount
Total 615.60
Student requester name and email(print): Tyler Hill [email protected] Date:2/18/13 Reviewed by team purchasing agent (print):Tyler Hill Date:2/18/13 Reviewed by Faculty Guide: Date: Financial Approval by Chris Fisher: Date: Account Number: Special Instructions:
OFFICE USE ONLY ______Order Entered By and Date Date Order Received/ Initials
Complete Partial Special Notes (backorders, partial order received):