<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>Robot Locomotion and Plant Platform P10215______Project Name Project Team Number</p><p>Vendor: McMaster-Carr Vendor Contact: [email protected] (general sales) Vendor Address: 6100 Fulton Industrial Blvd. SW</p><p>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]</p><p>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</p><p>4 2 6793K135 Roller Chain Sprocket $18.80 $37.60</p><p>5 2 6663K72 Roller Chain Sprocket $60.21 $120.42</p><p>6 1 6261K298 Roller Chain $21.92 $21.92</p><p>7 4 6261K191 Roller Chain Connecting Link $.70 $2.80</p><p>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</p><p>Total</p><p>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:</p><p>OFFICE USE ONLY ______Order Entered By and Date Date Order Received/ Initials Complete Partial Special Notes (backorders, partial order received):</p>