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UNIVERSITY OF LOUISVILLE
LAB GRADE ALCOHOL REQUISITION
ENTER MORE THAN 1 ITEM PER LINE.
WRITE IN SHADED AREAS.
RETURN ITEMS ON THIS FORM.
Effective July 13, 2005: This form is to be used for Lab Grade Alcohol orders only.
to access the stockroom requisition form.
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
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
4. Partial shipment - Balance will be shipped as soon as received.
DATE ORDER FILLED: ____________________ NO. OF PKG SHIPPED: _______________
FILLED BY: ___________________ RECEIVED BY: ___________________________________________