TRANSPORTATION ORDER
LOS ANGELES UNIFIED SCHOOL DISTRICT
PHOTOCOPY AS NEEDED
DATE:
PICK-UP AT
School or Ofce (Ofcial Name)
Address Building & Room Number
School or Ofce (Ofcial Name)
Address
DELIVER TO
GENERAL STORES
SURPLUS PROPERTY
(SALVAGE)
TRANSFERS
APPROVED BY (Name, Title & Signature)
RECEIVING
CHECK
QUANTITY UNIT
STOCK/SERIAL
NUMBER
ITEM DESCRIPTION
UNIT
PRICE
TOTAL
PRICE
PROGRAM
CODE
ABOVE ITEMS PICKED UP BY:
DATE:
RECEIVING CLERK’S SIGNATURE
DATE:
FOR GENERAL STORES SECTION USE ONLY:
FOR JOB COST - INVENTORY CONTROL USE ONLY:
Inspected and approved for return stock
Veried as defective
Reviewed by
Approved for input by
Input by
Date
Date
Date
Signed Date
RELEASED BY:
print name
signature
date
position / title
rev. JULY 2016
Cost Center (Location Code)
Building & Room Number
Contact Person & Telephone Number
Cost Center
APPROVED FOR CREDIT
NO credit to be allowed
Signed Date
For surplus pick-ups, please either e-mail this completed form to truckop@lausd.net or fax to (562) 654-9011.
For product returns to the General Stores Distribution, please use the Order Adjustment Form.
Downloadable PDF version of this form
is available at: http://achieve.lausd.net/Page/8694
