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MOMSOFTWARE PAGE: 001
Approved Requisitions ID #: PO-VQ
Requisition # A90610002 1 CTL.: MOM
***Note: This is for internal use only***
06/10/09
Required By....: 06/11/09
Vendor..: MCKINLEYVILLE VILLAGE Deliver.: SUNSET VALLEY
11700 Valley Road Santa Rosa
Hayward, CA Santa Rosa, TN 94536
Attn.: FRED D DUSSELMAN Attn.: JACOB SMITH
Phone.: (510)234-3555 Phone.: (123)434-3555
Ship Via: AIR MAIL F.O.B...: AIR MAIL FOB
Line Description Unit Amount Extension
---- -------------------------------------------------- ----------- -----------
0001 9.0 EA 10.00 90.00
RRR1
Account Id Amount
-------------- -----------
211 11121 1121 90.00 * Over Budget *
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Page Total: 90.00
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Requisition Total: 90.00
==================================
** Item(s) on this requisition are over budget. **
Approved by: JOE SMITH
Line Description Unit Amount Extension
---- -------------------------------------------------- ----------- -----------
0001 1 EA .02 .02
Account Id Amount
-------------- -----------
100 30000 1000 .02
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Page Total: .02
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Purchase Order Total .02
==================================
Approved by: JOHN SMITH
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