PURCHASE REQUISTION      
       Date Requested    
  Mail P.O. to Vendor        Date Wanted    
  Return P.O. to Staff member  
  Phone or Fax Order (must include phone number)  
    (Emergency Only)  
 
  NODAWAY-HOLT R-VII SCHOOL DISTRICT  
  Graham - Maitland - Skidmore    
                 Quality Education Today For A Successful Tomorrow    
       
The following supplies or equipment are required for           
   
Requested by:         Building Principal Approval    
   
   
Vendor (Must include address)    
  Name:           Phone #:  
  Address:           Fax #:  
   
 
Quantity Unit       Description   Unit Cost Total Cost
             
             
           
           
           
           
           
           
           
           
           
             
               
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
            GRAND TOTAL   $0.00
 
 
 
  Authorized:      
  Superintendent