Case File
efta-efta00616350DOJ Data Set 9OtherDS9 Document EFTA00616350
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Unknown
Source
DOJ Data Set 9
Reference
efta-efta00616350
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0
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LSJ
Approval/Purchase Items/Payment Request Form
Date of Request:
5-8-07
Status:
Urgent: XXXX
Inventory:
Item/Items Requested: Tile for Cabana Floor
360 pcs. 12"x12" Mexican Santillo Tile
76 pcs. Pool edging-Mexican Santillo tile
Purchase Price:
shipping, tax and
all related costs.
Total Expected Cost:
Ship on our boat
Deposit Required? Yes: Pay upon receipt.
No:
List Dept:
Purpose/Description: Tile Floor at Cabana
Purchased From: Floor Factory
Company Name & St. Thomas
Address or Web Site
S788.40
$604.20
$1,392.60
$1,392.60
Requested By:
Dan Chipman
Time Frame for
Purchase/Repair:
Special Instructions:
Attach Quote:
Yes:
No: XX Can fax a copy if needed
Were Competitive Quotes Obtained?
Yes:
No:
If No, Why Not:
Authorization:
EFTA00616350
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