EQUIPMENT ACQUISITION REQUEST

NEW EQUIPMENT DATE :    _______________________
REPLACEMENT EQUIPMENT PURCHASE REQ.#: ______________

 

 

General Description :
IIT tag number if upgrade of present equipment :

Description of function and performance of equipment (attach descriptive literature, discuss possible alternatives) :

Reason  for purchase (superiority over presently available equipment, scientific and economic data, etc) :

Present and anticipated use potential :

Disposition of any equipment replaced by purchase (include IIT tag numbers) :

Is there existing equipment at IIT that you could use or share to perform the same function :

YES
NO

PURCHASING DEPARTMENT
DATE VENDOR P.O.NUMBER AMOUNT
       
       
       
       
       

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