<p> Multidisciplinary Senior Design Kate Gleason College of Engineering Purchase Requisition</p><p>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.</p><p>_Fuser Bearing Life Fixture_ ___P13505______Project Name Project Team Number</p><p>Vendor: PCB Vendor Contact: Mike Grimaldi Vendor Address: 3425 Walden Avenue</p><p>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]</p><p>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</p><p>4</p><p>5</p><p>Sub-total $615.60 Shipping & Handling: x Standard UPS 2-Day Fed-Ex UPS Overnight Amount</p><p>Total 615.60</p><p>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:</p><p>OFFICE USE ONLY ______Order Entered By and Date Date Order Received/ Initials</p><p>Complete Partial Special Notes (backorders, partial order received):</p>