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2008 Purchase Request Form

The Austin Police Department Purchase Request Form is requesting various tactical equipment totaling $2,615 from Blauer Tactical Systems including trainer chest guards, peroneal nerve pads, throat guards, torso protectors, and marking cartridge ready head gear. The equipment will be used for realistic combative training by the LSU DT Team. The request requires approval from the Sergeant/Section Supervisor since the total is under $500.

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colorado576
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70 views

2008 Purchase Request Form

The Austin Police Department Purchase Request Form is requesting various tactical equipment totaling $2,615 from Blauer Tactical Systems including trainer chest guards, peroneal nerve pads, throat guards, torso protectors, and marking cartridge ready head gear. The equipment will be used for realistic combative training by the LSU DT Team. The request requires approval from the Sergeant/Section Supervisor since the total is under $500.

Uploaded by

colorado576
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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City of Austin - Police Dept.

Send Invoices
ATTN: Financial Management Austin Police Department 8700
to:
P.O. BOX 1629
Austin Texas 78767-1629 Purchase Request Form PO type Dept Order Number

Vendor Name Blauer Tactical Systems Today's Date 11/3/2010 PRF Total $

Vendor Address Req'd Delivery ASAP Contract Number:

Requestor LSU DT Team Petty Cash Request? Yes No

Vendor Phone 1877-773-2748 Phone No. 974-4206 Dollars budgeted & available? __Yes __No

Vendor Contact Division Training/Learned Skills If No, indicate the Unit______ Objt ______

Vendor email where funds are available.

Tax ID No: 1-74-6000085-8 Vendor may request Texas Sales and Use Tax Exemption Certificate. Form available in Financial Management

Qty Unit Unit Price Description & Business Purpose of Request Extended Cost Fund Dept Unit Objt Rept Task Order No

001
2 $550.00 Trainer chect guard 1 small, 1 large

002
4 $60.00 Peroneal nerve pad 1 large, 3 medium

003
4 $65.00 Throat Guard 1 large, 3 medium

004
4 $270.00 torso protectors 1 large, 3 mediums

005
6 $460.00 Marking Cartridge ready head gear 1 large, 3 medium

006

If more lines needed attach add'l pages


To be used in realistic combative training Program: _____________
Comments/ For ALL technology related purchases, email
Instructions
Pgm Period: ___________ "APD IT PURCHASE" to obtain approval.

Required Approval(s)
$499.99 or less $500 - $1,000 $500 - $999.99 $1000 - $4,999.99 $5,000 and up

Sergeant/Section Supervisor Lieutenant/Unit Supervisor Commander/Division Manager Assistant Chief/Deputy Director

Financial Liaison: Date: FMD Purchasing: Date:

Financial Mgt. Budget: Date: PO Entered by: Date:

Rev: 01/08 (AMW) Form is for internal use only. If hardcopy of PO required, request from Financial Management-Purchasing
PD-0004

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