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UNIVERSITY OF LOUISVILLE
LAB GRADE ALCOHOL REQUISITION

DO NOT ENTER MORE THAN 1 ITEM PER LINE.
DO NOT WRITE IN SHADED AREAS.
DO NOT RETURN ITEMS ON THIS FORM.

Effective July 13, 2005:  This form is to be used for Lab Grade Alcohol orders only. 
Click here to access the stockroom requisition form.

DATE ORDERED:

SPEEDTYPE:

ORDERED BY:

USERID:
 

DEPARTMENT:

BUILDING:

ROOM NO.

PHONE EXT.

AUTHORIZED BY:


Quantity
Ordered
UnitDescriptionStock NumberQuantity ShippedAction


ACTION

1. Item temporarily out of stock. It will be held on backorder and delivered as
soon as received. If this is urgently needed please contact the buyer at
852-8216.
2. Item not carried in the Stockroom. Please reorder on a Purchase Requisition and
forward to Department of Purchasing.
3. Stock numbers and description do not agree. Please check stock catalog
and reorder.
4. Partial shipment - Balance will be shipped as soon as received.


DATE ORDER FILLED: ____________________    NO. OF PKG SHIPPED: _______________
FILLED BY: ___________________    RECEIVED BY: ___________________________________________