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HomeMy WebLinkAboutCopy of Requisition Form metroSLOPD PURCHASE REQUISITION FORM REQUESTED BY: DATE: VENDOR NAME: PHONE: Do not complete this section FISCAL OFFICER: DATE: ACCOUNT: QTY 1 1 2 3 4 8 2 1 1 1 1 1 1 1 1 1 1 1 1 1 REASON FOR PURCHASE:+A48A48:J54 DESCRIPTION Jacket, Black soft shelled ("Police reflective screen print on back) Bicycle shirt- Black short sleeve Bicycle shirt- Black long sleeve Screen Printing "POLICE" reflective back on shirts Cloth Badge Patch for shirts and Jacket Shoulder patch for shirt and jacket Bicycle Pants zip off pants Bicycle gloves (not to exceed $40) Bicycle helmet (not to exceed $75) Gun Saftey lock Nylon magazine holder Nylon keepers Nylon duty belt Nylon handcuff case Nylon pepper spray case Nylon duty holster Nylon key holder Nylon baton holder Nylon radio holster Nylon flashlight holder Sgt. Hixenbaugh/Blake Etherton 11/15/2016 Templeton Uniform INVOICE TO BE SENT TO PD: PURCHASE MADE WITH CREDIT CARD*: NAME ON CREDIT CARD: ADDITIONAL APPROVAL: Add'l approval required if purchase is a non-budgeted item or over $500 Subtotal TAX Shipping & Handling Other TOTAL UNIT PRICE 109.62 39.99 39.99 59.5 33.44 64.99 13.28 25.86 11.21 46.8 28.2 18.45 225 18.87 56.41 35.33 13.28 o yes o yes *attach receipt TOTAL 109.62 39.99 79.98 0 0 36 119 33.44 64.99 13.28 25.86 11.21 46.8 28.2 18.45 225 18.87 56.41 35.33 13.28 0 0 0 533.37 42.6696 576.0396