Stockbridge
-
Munsee Purchasing Dept.
N8705 Moh He Con Nuck Rd.
Bowler, WI 54416
Supply Order Form
Date:
____________________
ACCT # ________________________________________
Vendor
______________________________
______________________________
______________________________
Ship To
Name
___________________
Dept.
___________________
Date R
eceived
Date Completed
Estimated
Delivery Date
Qty
Item
#
Description
Vendor
Unit Price
Line Total
Order Total
Order Completed By
Order #
1.
All forms must be scanned and
email
ed
to Robert
a Carrington
or sen
t
via
Inter-Office mail to Konkapot.
2. Both signatures are required before order will be processed, however, if
any ONE item is $200 or more your order may be delayed.
3. Orders will be processed immediately and delivered within 5 business
days, depending on availability.
4. Accounts Payable will use this form as authorization to pay invoice from
the ACCT # listed above.
5. The Purchasing Dept. has the right to substitute items or vendor for a cost
savings.
6. ALL PACKING SLIPS MUST BE DATED AND INITIALED ON THE DATE YOU
RECEIVE THE ITEMS AND SENT TO ROBERTA CARRINGTON AS SOON AS
POSSIBLE.
Requestor Signature
Date
Director’s Signature Date