Requisition Form
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1REQUISITION FORM
Delta C-7 School District
P.O. Box 297
Deering, MO 63840
Company Name:_______________________________________P.O. #______________________
(assigned by bookkeeper)
Address:____________________________City:_______________State:_________Zip:__________
Phone No.____________________________ Fax No._____________________________________
Catalog
Unit
pg.# (if
Qty.
Item #
Description
Price
Total
applicable)
Enter EITHER a % or a dollar amount for shipping. NOT both.
Subtotal
_________
Shipping & Handling
_________
Total
_________
Requested by:__________________________ Position:_______________________
Approved by:___________________________ Date:_________________________
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