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