Paper Supplies/Printer Cartridge Request Form
Name _______________________________________________________
Room _________ Date _________
Administrator/Budget Supervisor _______________________________Index/Org. Code _______________
Please allow at least 4 days for delivery from the date this request is received by Central Receiving
Item
Qty
U/M
Description
Price
Total
801
each
Envelopes: Kraft - 9 1/2 x 12 1/2
0.10
0
0.00
802
each
Envelopes: Kraft - 11 1/2 x 14 1/2
0.09
0
0.00
810
box
Letterhead Envelopes: Low Window (500)
15.62
0
0.00
811
box
Letterhead Envelopes: No Window (500)
20.85
0
0.00
814
each
Letterhead Envelopes: 6 x 9
0.06
0
0.00
812
each
Letterhead Envelopes: 9 x 12
0.11
0
0.00
813
ream
Letterhead Paper
28.90
0
0.00
820
ream
Paper: 8 1/2 x 11 Bond - White
2.71
0
0.00
821
ream
Paper: 8 1/2 x 11 Bond - Blue
3.84
0
0.00
822
ream
Paper: 8 1/2 x 11 Bond - Buff
4.21
0
0.00
0.00
823
ream
Paper: 8 1/2 x 11 Bond - Canary
3.72
0
824
ream
Paper: 8 1/2 x 11 Bond - Goldenrod
2.93
0
0.00
825
ream
Paper: 8 1/2 x 11 Bond - Green
3.98
0
0.00
826
ream
Paper: 8 1/2 x 11 Bond - Pink
7.04
0
0.00
827
ream
Paper: 8 1/2 x 11 Bond - Salmon
3.01
0
0.00
840
ream
Paper: 8 1/2 x 14 Bond - White
4.87
0
0.00
0.00
845
ream
Paper: 8 1/2 x 14 Bond - Green
3.61
0
846
ream
Paper: 8 1/2 x 14 Bond - Pink
3.61
0
0.00
860
ream
Paper: 11 x 17 Bond - White
0.22
0
0.00
850
each
Lexmark T642/T644: B/W Toner Cartridge
103.87
0
0.00
851
each
Lexmark T654: B/W Toner Cartridge
194.11
0
0.00
852
each
Lexmark MS811: B/W Toner Cartridge
353.02
0
0.00
857
each
Lexmark MS811: Imaging Unit
43.80
0
0.00
858
each
Lexmark MS811: Maintenance Kit
259.00
0
0.00
853
box of 6 Xerox ColorQube 8870: Black Solid Ink
356.95
0
0.00
854
box of 6 Xerox ColorQube 8870: Yellow Solid Ink
96.20
0
0.00
855
box of 6 Xerox ColorQube 8870: Magenta Solid Ink
96.20
0
0.00
0.00
856
box of 6 Xerox ColorQube 8870: Cyan Solid Ink
116.58
0
863
box of 6 Xerox Phaser 8860: Black Solid Ink
393.16
0
0.00
0.00
864
box of 6 Xerox Phaser 8860: Yellow Solid Ink
72.70
0
865
box of 6 Xerox Phaser 8860: Magenta Solid Ink
96.94
0
0.00
866
box of 6 Xerox Phaser 8860: Cyan Solid Ink
72.70
0
0.00
0
0.00
TOTAL