LARAMIE COUNTY COMMUNITY COLLEGE
Purchase Requisition
Requisition No.
Requester
Phone Purchase Order No.
Email
Department
QT Y.
UNIT OF
ISSUE
ITEM DESCRIPTION UNIT PRICE
TOTAL
PRICE
BUDGET NUMBER
Shipping charges, if applicable
Were prices quoted FOB college campus?
Yes No To t a l
Delivery Date Delivery Terms
Other Notations
SUGGESTED VENDORS
INSTRUCTIONS
1. Submit separate requisitions, if items are to be
ordered from more than one vendor.
2. The Purchasing Office must initiate and manage
bid or quote requests for purchases over $20,000.
Contact Purchasing for assistance.
3. Attach price quotes you received from the vendors.
4. Submit this completed form and all attachments/
specifications to your department Administrative
Assistant as requested and Purchasing Office.
A.
Phone No.
Email
B. Signatures
___________________________________________________________________ _________________________
Individual making request Date
___________________________________________________________________ _________________________
Supervisor Date
___________________________________________________________________ _________________________
Appropriate Dean/VP/Director Date
___________________________________________________________________ _________________________
Purchasing Coordinator Date
Phone No.
Email
C.
Phone No.
Email
2020 PRS Purchasing 12/17
TM
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