Purchase Requisition Form - Troll Systems

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Purchase Requisition Form
Requester Information
Vendor Information
Company
Name
Date
Address
City
Sales Order#
EP#
Country
Inventory
State/Province
Expense:
Zip/Postal Code
Computer Equip/Software
R & D Taxable
Phone Number
Mfg Non-Taxable/Resale
Shop Supply
Fax Number
Office Supply
Test Equipment
Contact Name
Other
Add Item
Delivery Date Requested
First Article Required Qty = _______
Estimated
Part No. / Rev.
Description
Quantity
Unit Price
Amount
X
X
Estimated Total
Comments
Supervisor Signature
Executive Signature*
*required ONLY for purchases exceeding $1000
Page 1 of 1
Form Number 146000C

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