Senior must pick up Purchase Order at Cashier’s Window approximately three (3) business
days after request is received by CSR Sta (please bring Tribal ID).
If you have any questions: Please contact Lana Craig, CSR Coordinator at 360-716-4175.
Pendleton Blanket Request ($235)
Tribal Senior (50+)
- attach Tribal ID Copy
A Purchase Order will be issued for the:
Hibulb Cultural Center Gift Shop
6410 23rd Ave NE, Tulalip, WA 98271
______________________________________________
Applicant’s Signature
____________________
Date
____________________
Date
______________________________________________
Authorized Signature
6406 Marine Drive, Tulalip, WA 98271 (360)716-4000 Fax (360)716-0606
Name: _______________________________________________________________
Tribal # _______________________________________ Birth Date: ____________
Contact Number: ______________________________________________________
TDS28400 Rev. 02/19
Admin. Use Only:
Req. # ___________________ Vendor # 9213 P.O. # _____________________
click to sign
signature
click to edit
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click to sign
signature
click to edit
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