Central Research Stores Order Form
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1CENTRAL RESEARCH STORES
SHIPPING INFORMATION
UNIVERSITY OF GEORGIA
NEXT DAY
ORDER FORM
2ND DAY
ROUTINE
DATE:_______________________________
DATE NEEDED
(DO NOT USE ASAP)
NAME:_______________________________
DEPT:_______________________________
BLDG:_______________________________
INVOICE #:_________________________
LAB #:_______________________________
ACCOUNT #:________________________
PURCHASE REQUEST OR RELEASE #:___________________ ACCOUNT NAME:____________________
DIRECT DEPARTMENT INQUIRIES TO:____________________
PHONE:_______________________
EXPENSE________ EQUIPMENT_______
UNIT
TOTAL
ITEM
QUANTITY
UNIT
CATALOG NO.
DESCRIPTION & SPECIFICATIONS
PRICE
PRICE
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
GRAND TOTAL
0.00
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