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North Hall Purchase Order Request Form

Name: ______________________________________ Date: _______________

Persons responsible for program: _____________________________________

Contact person for this program: ______________________________________

Title of Program: __________________________________________________

Date of Program: ___________ Location of Program: _____________________

Items being purchased: _____________________________________________

________________________________________________________________

________________________________________________________________

Amount requested for purchases: _____________________________________

If over $20 was this request approved by the Hall council:  Yes        No

North Hall Purchase Order Request Form

Name: ______________________________________ Date: _______________

Persons responsible for program: _____________________________________

Contact person for this program: ______________________________________

Title of Program: __________________________________________________

Date of Program: ___________ Location of Program: _____________________

Items being purchased: _____________________________________________

________________________________________________________________

________________________________________________________________

Amount requested for purchases: _____________________________________

If over $20 was this request approved by the Hall council:  Yes        No