Multidisciplinary Senior Design
Kate Gleason College of Engineering
Purchase Requisition
This form is to be used for purchases made by Chris Fisher in the Multidisciplinary
Senior Design Office or to request reimbursement for project purchases.
Wandering Ambassador___
Project Name
___
P11215_________________
Project Team Number
Vendor:
Vendor Contact:
Vendor Address:
McMaster-Carr
Vendor City/State/Zip
Vendor Phone Number:
Vendor Fax Number:
Vendor Email:
Chicago, IL 60680-4355
630-833-0300
630-834-9427
chi.sales@mcmaster.com
Item
1
2
Qty Part Number
2
7571K25
(Yellow)
2
7571K915
600 N County Line Rd
Detailed Description
5’ Long yellow urethane bumper switch
Unit Price
$115.20
Extended Price
$230.40
5’ Long aluminum mounting strip for bumper
switch
$25.64
$51.28
3
4
5
ing & Handling:  Standard
 UPS 2-Day
 Fed-Ex
 UPS Overnight
Sub-total $281.68
Amount
Total
Student requester name and email(print):
Reviewed by team purchasing agent (print):
Reviewed by Faculty Guide:
Financial Approval by Chris Fisher:
Account Number:
Special Instructions:
OFFICE USE ONLY
______________________________
Order Entered By and Date
Date:
Date:
Date:
Date:
________________________
Date Order Received/ Initials
 Complete
Special Notes (backorders, partial order received):
 Partial