Purchase Request Form

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PURCHASE REQUEST FORM
LAKE SUPERIOR SCHOOL DISTRICT ~ ISD #381
CAMPUS:
MINNEHAHA ELEMENTARY
WILLIAM KELLEY ELEMENTARY
TWO HARBORS HIGH SCHOOL
WILLIAM KELLEY HIGH SCHOOL
COMMUNITY ED~TH
COMMUNITY ED~SB
_________/_________/_________/_________/_________/_________
___________%
_________/_________/_________/_________/_________/_________
___________%
Fill in Account Code.
Vendor Name:
Date:
Address:
Requisition #:
ITEM # QUANTITY
DESCRIPTION
UNIT PRICE
TOTAL PRICE
$
$
TOTAL
$
Note: Add Shipping and Handling when Applicable.
Material on this order is exempt from Federal Excise Tax and State and Local Sales Tax.
Tax Exempt #8006999
Requisitioner
Administrator

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