Multidisciplinary Senior Design s4
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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.
Robot Locomotion and Plant Platform P10215______Project Name Project Team Number
Vendor: McMaster-Carr Vendor Contact: [email protected] (general sales) Vendor Address: 6100 Fulton Industrial Blvd. SW
Vendor City/State/Zip Atlanta, GA 30336-2853 Vendor Phone Number: 1-404-346-7000 Vendor Fax Number: 1-404-349-9091 Vendor Email: [email protected]
Item Qty Part Number Detailed Description Unit Price Extended Price 1 2 2426T55 Swivel Casters $14.03 $28.06 2 2 78155T33 Fixed Casters $2.08 $4.16 3 2 6793K117 Roller Chain Sprocket $7.68 $15.36
4 2 6793K135 Roller Chain Sprocket $18.80 $37.60
5 2 6663K72 Roller Chain Sprocket $60.21 $120.42
6 1 6261K298 Roller Chain $21.92 $21.92
7 4 6261K191 Roller Chain Connecting Link $.70 $2.80
8 2 94744A285 Washer (5 pack) $4.43 $8.86 9 1 92825A337 Spacer (20 pack) $10.23 $10.23 10 2 90222A518 Weld in pin $14.95 $29.18 Sub-total $291.31 Shipping & Handling: Standard UPS 2-Day Fed-Ex UPS Overnight Amount
Total
Student requester name and email(print): Brian Russel, [email protected] Date: Reviewed by team purchasing agent (print): Vincent Baier Date: 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):