Cuesta College General Requisition
Ordered by:
Confirmation # :
PO#
Suggested Vendor Information:
Name:
Address:
Ph: Fax:
Disposal? ___ Surplus ___ Reuse
Equipment Status: ___New ___Replace
Requestor Information:
Banner ID:
Requested by:
Ext:
Date:
New?
For use by:
Room#
Date Required:
Deliver to:
____ SLO Campus
____ NC Campus
Dept. / Div. :
Work Order #:
Line
Item
Quantity Unit/M
Part # & Description
Unit Cost
Extended Cost
(Qty x Unit Cost)
District Account Number(s): Approvals (if applicable) Approvals (required)
DIR # :
Budget Approval:
Purchasing:
Facilities:
IT:
White = Purchasing / Accounts Payable Copy Yellow = Purchasing Copy Pink = Requestor Control Copy
Comments:
Direct Pay ?
Yes
ATTACH INVOICE
IT Activity Code:
Contact email:
Nothing
Ships
Departments: Please retain a copy for your records.