oO Form B-1 Revised PURCHASE REQUEST P. R. N? 51445 UNIVERSITY OF KANSAS Date nn MOY BB g DOGG serene LAWRENCE, KANSAS Business Manager: 3 ; Please furnish the items listed below: ee Sear connenecnneeet OOOROOL Bausation Wanted By... 19.25.55, Department Norte: Write out below reason for purchase explicitly. Attach Signed: questions if any. ; Ciepartnnent Head) Quotation sheets to accompany all orders except contract items, or noncompetitive items if actual state cost is known. Quantity DESCRIPTION (Complete as possible) Unit Price Actual Cost 5 gal Kemtone 2.98 14| 90 Budget allowance $ Net balance to date $ F irms from which we recommend purchase be made. PO Nee ee ee Green Brothers Lawrence, Kansas BE INO. acc enna tactic emer ane NE By cael ae eae a aaa seat cats Spepmigs = ees Approved By: (Business Manager) Quotation No. 20-4601 10-44—10M Sets ESO