Purchase Requisition Form - Suny Rf

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The Research Foundation of State University of New York
Req. #
Requisition Date
Purchase Requisition
Supplier
Address
City
State
Zip Code
Social Sec # or Fed ID #
Phone #
Fax #
Ship to Address
Payment Terms: ____________________
Freight ___ Due
___ Paid
Project
Task
Award
Organization Name (Department)
Carrier _______________________________
FOB __ Destination __ FCA __ Origin
Expenditure Type
Building
Room Number
Supplier Notes:
Attention
Organization Name (Department)
Need by Date:
Requisitioner
Telephone #
Confirming (Yes/No) ______
Authorized Signature
Date
Item
Item
Type
Category
Catalog # & Complete Description (including notes & buyer notes)
Quantity
Unit
Unit Price
Total
$
Quotation:
Written
Verbal
By
Date
Total:
1

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