TEMPLE UNIVERSITY PURCHASE REQUISITION		DATE REQUISITION NO.(Dept) W448292
IMPORTANT:      PROVIDE ALL NECESSARY INFORMATION - PLEASE TYPE OR PRINT CLEARLY - DO NOT USE SCREENED BLOCKS INCOMPLETE REQUISITIONS WILL BE RETURNED.
DEPARTMENT ORG ACCT# CENTER/GRANT SUBLEDGER PO NO
BUYER TYPE VENDOR NO. TERMS F.O.B. DATE REQUIRED
DELIVER TO (PERSON) LOCATION REQUESTED BY PHONE NO. DATE GRANT EXPIRES
BLDG AND ROOM NO. APPROVALS ALL EXPENDITURE REQUESTS MUST BE CLEARED THROUGH APPROPRIATE OFFICE FOR SIGNATURE AUTHORITY.
ADDRESS DEPARTMENT HEAD DATE FISCAL/ACCOUNTING DATE
ASST ADMINISTRATOR DATE EXEC DIR & C E OFFCR DATE
SUGGESTED VENDOR ADMINISTRATOR DATE VICE PRES/PROVOST DATE DEAN DATE OTHER DATE PRINCIPAL INVEST. DATE
LINE NO. QTY. UNIT (see note) DESCRIPTION (FURNISH EXACT SPECS, CATALOG REF, ETC.) UNIT COST COMM BID #1 BID #2 BID #3 TOTAL                                                                                                                                                                 IMPORTANT: DO NOT INSERT PRICES UNLESS CURRENTLY QUOTED. GIVE NAME OF PERSON QUOTING AND DATE OF QUOTATION IN SUGGESTED VENDOR FIELD. WRITTEN QUOTATIONS MUST BE ATTACHED.

NOTE: Designate by Standard of Measurement such as Doz., Gross, Pts., Qts., Gal., Lbs., Tons, Etc. If Unit is a Container, Specify Size such as 55-Gal. Drum, 5-Gal. Can, Cases of 50, Etc.