PEARL RIVER COMMUNITY COLLEGE DEPARTMENT
REQUISITION FOR PURCHASING ACCOUNT
THIS FORM REQUIRES THE AUTHORIZATION OF THE DIRECTOR/SUPERVISOR AND THE ADMINISTRATOR
OF THE EMPLOYEE REQUISITIONING THESE ITEMS. AFTER SIGNATURE BY THE ADMINISTRATOR, THE
FORM WILL BE SENT TO ACCOUNTS PAYABLE.
ITEM
NO.
QU
ANTITY
CO
MPLETE DESCRIPTION
ITEM
PRICE
TOTAL
PRICE
Suggested Vendor & Address
Current Date Date Item Desired
Full Name of Requisitioner Date
Approved By Director/Supervisor Date
Approved By Administrator Date
PRCC 10/13
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