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~. ._ i t <br />~~ ~ '~ REQUISITIO ,..PURCHASE ORDER RECEI iHG RECORD <br />CITY OF LA PORTE, TEXAS <br />• <br />~` ~ ~~ ~ . <br />Date , <br />~, <br />T0: ~ -"~ - rL~~.~L-ct~ - ~,/,rL-fit/-G-•~~~ C~~-~' ~!~ +~ . <br />~ Check here ^ if this is confirmation . <br />of order previously ~ given to Vendor. <br />PLEASE SUPPLY THE FOLLOWL'VG MATERIALS AND/OR SERVICES: <br />UNIT TOTAL `_ BUDGET <br />COST COST - CODE <br />I certify that this Requisition is provided by budget, .or that necessary provisions have been made for- purchase by <br />Commission action on /d' ~'- 7~ - `.. - .~ <br />._ _ <br />.. ~ <br />Department Iiead ~ .. .. <br />I certify that there is a sufficient unencumbered balance i n this account and/or that necessary appropriation has been <br />made in accordance with the. City Charter. <br />NOTICE TO VENDOR: This purchase is hereby approved. Please show Purc-base Order Number on all invoices so <br />that payment will not be .delayed. Submit invoices in duplicate so that -one copy may be returned with pa ment <br />voucher. <br />Approved: <br />Director of Finance <br />ECEIVING RECORD: <br />Th@ above materials and/or,services-have .been,re~eived according to specific_ations,_except as noted. <br />_ Receiving Official <br />.~ <br />~~ <br />. <br />~s _~. <br />