Southern Connecticut State University
Purchase Requisition
Department Charged:
Requested by:
Telephone #:
Date Required:
Deliver to - (Dept Name/Building/Room No./End user):
Contract Award Number:
Does price include delivery? YES
NO
Requisition total:
*CGS Chapter 10,Sec 1-84(i) ''Immediate family'' means any spouse, children or dependent relatives who reside in the individual's household.
