PO/Req#
Direct Pay #
Baton Rouge Community College
PURCHASE REQUISITION
Requested by: Date:
Division: Phone:
Suggested Vendor / address
Phone:
Fax:
State purpose:
Quantity
Unit of
Measure
Full Description
Unit Price
Extended
Price
TOTAL: 0
Fund Orgn. Object Amount
OAF use:
Funds
(Y/N)
APPROVALS Date
Dean/Director:
Accounting:
Information Tech:
Vice Chancellor:
Chancellor:
Vendor Contact:
Need Date:
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