MINEOLA INDEPENDENT SCHOOL DISTRICT
PURCHASE REQUISITION
REQUESTED BY ________________________________________ DATE_____________________
VENDOR NAME ______________________________ CAMPUS________________ DEPT/GRADE___________
ADDRESS ___________________________________ FOR USE BY: SUPPLIES CONT SERV TRAVEL FIXED ASSETS
CITY_________________STATE______ ZIP________ REG VOC ESL GT ST COMP
MISD LOCAL VENDOR
*GENERAL SERV COMM REGION VII CO-OP *SOLE SOURCE *UIL (*LETTER MUST BE ATTACHED)
ITEM NUMBER
DESCRIPTION/CONFIGURATION
QUANITY
UNIT PRICE
TOTAL
SUB TOTAL
SHIPPING
GRAND TOTAL
SUPERVISOR APPROVAL _______ DATE_________ DISAPPROVED_____________ DATE__________
PRINCIPAL APPROVAL – 1
ST
_______ DATE_________ REASON: * NO FUNDS *UNAPPROVED VENDOR *INCOMPLETE
PRINCIPAL APPROVAL – 2
ND
_______ DATE_________ *OTHER_____________________________________________________
BUS MANAGER APPROVAL _______ DATE_________ *IF AN ORDER FORM EXIST PLEASE ATTACH
SUPERINTENDENT APPROVAL _______ DATE_________ *PLEASE ADD SHIPPING OR NOTE IF IT IS FREE
*INCLUDE ALL DISCOUNTS
FOR OFFICE USE ONLY: PROPERTY INVENTORY __________________________________ AUDIO VISUAL INVENTORY__________________________________
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