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.
Change of Resistance Test Stand
Project Name
P13472
Project Team Number
Vendor:
Vendor Contact:
Vendor Address:
McMaster-Carr Supply Co
600 N County Line Rd
Vendor City/State/Zip
Vendor Phone Number:
Vendor Fax Number:
Vendor Email:
Elmhurst, IL 60126
(630) 833-0300
-
Item
1
Qty Part Number
6
7230K892
Detailed Description
Unit Price
Extended Price
4PST Relay, 600VAC rated, 120VAC
$43.32
$259.92
2
3
4
5
ing & Handling:  Standard
 UPS 2-Day
 Fed-Ex
 UPS Overnight
Sub-total $259.92
Amount
Total
Student requester name and email(print): Colin Payne-Rogers, cmr6599
Reviewed by team purchasing agent (print): Colin Payne-Rogers, cmr6599
Reviewed by Faculty Guide:
Financial Approval by Chris Fisher:
Account Number:
Special Instructions:
OFFICE USE ONLY
______________________________
Order Entered By and Date
Date: 3/6/13
Date: 3/6/13
Date:
Date:
________________________
Date Order Received/ Initials
 Complete
Special Notes (backorders, partial order received):
 Partial