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Colwell Center IPS Request
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Name:
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Email:
Campus ID:
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University/Program:
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ARC
CC Operations
CC Facilities
IMET Director
Harbor Launch Incubator
UMBC (DMB)
UMB
UMCES
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PI/Approver:
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Account Code:
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0000000 - I Don't Know / Help Me Decide
7080900 Equipment Maint. & Repair
7081600 Housekeeping
7089900 Other Contract Serv - Non DP
7090200 Office Supplies
7090400 Building & Household Supply
7091410 Lab Supplies
7099951 Sensitive Equipment
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Cost Center:
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Vendor Name:
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Vendor Contact:
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Email
Website
Phone
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Justification:
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Item Name
Item #
Item Link
Price per Item
Quantity
Line Total
1
$
$
Total:
$
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Chart String
Account Number
Amount
%
$
1
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%
$
Total:
%
Total:
$
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Notes/Comments:
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