Radioactive Materials Requisition Form
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11300 W. Park Street
|
Butte, MT 59701
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mtech.edu
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406.496.4463
Radioactive Materials Requisition Form
Please provide all requested information, including the banner account number to which
the materials will be charged.
Authorized user:
Telephone:
Date of request:
Date materials required:
Vendor name:
Vendor telephone:
Building and room materials will be used in:
Banner index #:
Purchase order #:
Item description:
Quantity (specify micro or millicuries)
Catalog #:
Price:
Authorized user signature ____________________________________ Date _______________
Approved by RSO _________________________________________
Date _______________
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Parent category: Business