POKAGON BAND OF POTAWATOMI
INDIANS
PURCHASE REQUISITION
Please fill in as completely as you can and forward to the Purchasing Department
Date: Requested by: Department:
Deliver to:
Reason for Purchase: Vendor:
Vendor Contact: Phone: Fax:
Quantity
Account Code
Description of Item
Date Needed
Unit Price
Department Director:
(Signature Required)
Date Signed:
*************************************** FOR PURCHASING ONLY ************************************
Buyer: Telephone Ext.:
Date Received by Purchasing: Purchasing Approval:
Purchase Order Number: Date PO Sent to Vendor: