**PURCHASE REQUISITION\
WORK SHEET**

Date: [     ]{.underline}

Person Writing Requisition: [     ]{.underline} Phone: [     
\_\_\_\_]{.underline}

Account Name: [     ]{.underline} Acct #: [     ]{.underline}

Person in Charge of Project: [     ]{.underline}

Supplier of: [     ]{.underline}\
Product or: [     ]{.underline}\
Service: [     ]{.underline}

Required Delivery Date: [     ]{.underline}

A Short Phrase for Item(s)

[     ]{.underline}

If this requisition is for outside contractor services, is the risk
classified as High, Medium or Low? **\
**

+----+----+------------------------------------+---+---+---+-----+------+
| I  | Q  | DESCRIPTION\                       | > | > | > | > E | > ES |
| TE | TY | Catalog number, if any; followed   |   |   |   | STI | TIMA |
| M\ | &\ | by noun, then adjective, as        | Q | N | R | MAT | TED\ |
| N  | UN | "Flasks, Erlenmeyer, Pyrex glass,  | u | R | a | ED\ | >    |
| O. | IT | 500 ml." Give all the particulars  | a | T | d | >   |  NET |
|    |    | you know: size, weight, color,     | l | L | i | NET | > TO |
|    |    | material capacity, voltage, etc.   | i | > | o | >   | TAL\ |
|    |    |                                    | t |   | a |  UN | > P  |
|    |    |                                    | y | R | c | IT\ | RICE |
|    |    |                                    | > | e | t | >   |      |
|    |    |                                    |   | c | i |  PR |      |
|    |    |                                    | L | o | v | ICE |      |
|    |    |                                    | e | g | e |     |      |
|    |    |                                    | v | n | > |     |      |
|    |    |                                    | e | i |   |     |      |
|    |    |                                    | l | z | M |     |      |
|    |    |                                    | > | e | a |     |      |
|    |    |                                    |   | d | t |     |      |
|    |    |                                    | \ | ? | e |     |      |
|    |    |                                    | * | > | r |     |      |
|    |    |                                    |   |   | i |     |      |
|    |    |                                    |   | \ | a |     |      |
|    |    |                                    |   | * | l |     |      |
|    |    |                                    |   |   | ? |     |      |
|    |    |                                    |   |   | > |     |      |
|    |    |                                    |   |   |   |     |      |
|    |    |                                    |   |   | \ |     |      |
|    |    |                                    |   |   | * |     |      |
+----+----+------------------------------------+---+---+---+-----+------+
| 1  |    |                                    |   |   |   | \$0 | \$   |
|    |    |                                    |   |   |   | .00 | 0.00 |
|    |    |                                    |   |   |   |     |      |
+----+----+------------------------------------+---+---+---+-----+------+
|    |    |                                    |   |   |   | \$0 | \$   |
|    |    |                                    |   |   |   | .00 | 0.00 |
|    |    |                                    |   |   |   |     |      |
+----+----+------------------------------------+---+---+---+-----+------+
|    |    |                                    |   |   |   | \$0 | \$   |
|    |    |                                    |   |   |   | .00 | 0.00 |
|    |    |                                    |   |   |   |     |      |
+----+----+------------------------------------+---+---+---+-----+------+
|    |    |                                    |   |   |   | \$0 | \$   |
|    |    |                                    |   |   |   | .00 | 0.00 |
|    |    |                                    |   |   |   |     |      |
+----+----+------------------------------------+---+---+---+-----+------+
|    |    |                                    |   |   |   | \$0 | \$   |
|    |    |                                    |   |   |   | .00 | 0.00 |
|    |    |                                    |   |   |   |     |      |
+----+----+------------------------------------+---+---+---+-----+------+
|    |    |                                    |   |   |   | \$0 | \$   |
|    |    |                                    |   |   |   | .00 | 0.00 |
|    |    |                                    |   |   |   |     |      |
+----+----+------------------------------------+---+---+---+-----+------+
|    |    |                                    |   |   |   | \$0 | \$   |
|    |    |                                    |   |   |   | .00 | 0.00 |
|    |    |                                    |   |   |   |     |      |
+----+----+------------------------------------+---+---+---+-----+------+
|    |    |                                    |   |   |   | \$0 | \$   |
|    |    |                                    |   |   |   | .00 | 0.00 |
|    |    |                                    |   |   |   |     |      |
+----+----+------------------------------------+---+---+---+-----+------+
|    |    |                                    |   |   |   | \$0 | \$   |
|    |    |                                    |   |   |   | .00 | 0.00 |
|    |    |                                    |   |   |   |     |      |
+----+----+------------------------------------+---+---+---+-----+------+
|    |    |                                    |   |   |   | \$0 | \$   |
|    |    |                                    |   |   |   | .00 | 0.00 |
|    |    |                                    |   |   |   |     |      |
+----+----+------------------------------------+---+---+---+-----+------+
|    |    |                                    |   |   |   | \$0 | \$   |
|    |    |                                    |   |   |   | .00 | 0.00 |
|    |    |                                    |   |   |   |     |      |
+----+----+------------------------------------+---+---+---+-----+------+
|    |    |                                    |   |   |   | \$0 | \$   |
|    |    |                                    |   |   |   | .00 | 0.00 |
|    |    |                                    |   |   |   |     |      |
+----+----+------------------------------------+---+---+---+-----+------+
|    |    |                                    |   |   |   | **T | **\$ |
|    |    |                                    |   |   |   | OTA | 0.   |
|    |    |                                    |   |   |   | L** | 00** |
+----+----+------------------------------------+---+---+---+-----+------+

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the F1 key.*