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COMPUTING > Service Desk > Supply Order Form
 
 

Please complete form, fill in all of the fields at the bottom, and then click on the Confirm button at the bottom of the form and sign. Do not use Internet Explorer to print out the entire form, use the Confirm button at the bottom of the page.

Incorrect/incomplete forms will be rejected and supply request will not be filled until the form is submitted correctly.

Toner
Qty.UnitPriceItem #DescriptionTotal Price
1$66.00 1050/1250 Black Toner 1.4K $0.00
1$66.00 1050/1250 Cyan Toner 1.4K $0.00
1$66.00 1050/1250 Magenta Toner 1.4K $0.00
1$66.00 1050/1250 Yellow Toner 1.4K $0.00
1$83.00 1130/1135 black toner 2.5K $0.00
1$55.00 1230/1235 black toner 1.5K $0.00
1$49.00 1230/1235 cyan toner 1.5K $0.00
1$49.00 1230/1235 magenta toner 1.5K $0.00
1$49.00 1230/1235 yellow toner 1.5K $0.00
1$62.00 1320 black toner 2k $0.00
1$82.00 1320 cyan toner 2k $0.00
1$82.00 1320 magenta toner 2k $0.00
1$82.00 1320 yellow toner 2k $0.00
1$83.00 1600 black toner 5k $0.00
1$94.00 1700/1710 black toner 6k $0.00
1$135.00 1720 black toner 6k $0.00
1$69.00 2130/2135 black toner 2.5k $0.00
1$94.00 2130/2135 cyan toner 2.5k $0.00
1$94.00 2130/2135 magenta toner 2.5k $0.00
1$94.00 2130/2135 yellow toner 2.5k $0.00
1$94.00 2150/2155 black toner 3K $0.00
1$93.00 2150/2155 cyan toner 2.5K $0.00
1$94.00 2150/2155 image drum $0.00
1$93.00 2150/2155 magenta toner 2.5K $0.00
1$93.00 2150/2155 yellow toner 2.5K $0.00
1$104.00 2330/2350 black toner 6k $0.00
1$102.00 2335 black toner 6K $0.00
1$170.00 2355 black toner 6K $0.00
1$42.00 3010 black toner 2k $0.00
1$73.00 3010 cyan toner 2k $0.00
1$73.00 3010 magenta toner 2k $0.00
1$73.00 3010 yellow toner 2k $0.00
1$115.00 3110/3115 black toner 8k $0.00
1$213.00 3110/3115 cyan toner 8k $0.00
1$213.00 3110/3115 magenta toner 8k $0.00
1$213.00 3110/3115 yellow toner 8k $0.00
1$131.00 3130 black toner 9k $0.00
1$238.00 3130 cyan toner 9k $0.00
1$238.00 3130 magenta toner 9k $0.00
1$238.00 3130 yellow toner 9k $0.00
1$200.00 3330 black toner 14k $0.00
1$94.00 5110 black toner 18k $0.00
1$239.00 5110 cycan 12k $0.00
1$239.00 5110 magenta 12k $0.00
1$239.00 5110 yellow 12k $0.00
1$129.00 5130 black toner 18k $0.00
1$229.00 5130 cyan toner 12k $0.00
1$229.00 5130 magenta toner 12k $0.00
1$229.00 5130 yellow toner 12k $0.00
1$217.00 5210 black toner 20k $0.00
1$281.00 5230 black toner 21k $0.00
1$289.00 5310 black toner 30k $0.00
1$192.00 5330 black tonner 20k $0.00
1$290.00 5350 black toner 30k $0.00
1$234.00 7130 black toner 19k $0.00
1$431.00 7130 cyan toner 20k $0.00
1$431.00 7130 magenta toner 20k $0.00
1$431.00 7130 yellow toner 20k $0.00
1$129.00 7330 black toner 35k $0.00
1$197.00 M5200 black toner 18K $0.00


Accessories
Qty.UnitPriceItem #DescriptionTotal Price
1$6.00 14 ft network cable $0.00
1$15.00 25 ft network cable $0.00
1$5.00 7 ft network cable $0.00
1$60.00 Dell laptop power adaptor $0.00
1$35.00 Laptop lockdown kit $0.00
1$28.00 Power strip 7 outlet 15 ft $0.00
1$13.00 Power strip 7 outliet 7 ft $0.00
1$7.00 USB A to B cable $0.00
1$5.00 USB Extension $0.00


Printer Maintenance
Qty.UnitPriceItem #DescriptionTotal Price
1$94.00 1320 Image Drum $0.00
1$94.00 1320/2130/2135 Imaging Drum $0.00
1$47.00 1710 Image Drum $0.00
1$47.00 1720 Image Drum $0.00
1$34.00 2330 Image Drum $0.00
1$160.00 5110 Image Drum/Transfer Roller $0.00
1$24.00 5130 Color Waste Container $0.00
1$85.00 5130 Image Drum $0.00
1$24.00 7130 Color Waste Container $0.00
1$188.00 7130 Image Drum $0.00
1$254.00 7330 Image Drum $0.00


Total: $0.00
Department Code:
  		Department Name:
 
Account#:
  		 
Requestor's Signature: Requestor's Name:
 
Approval Signature: Approval Name:
 
Received by: Date:
Addtional Notes:
 

 
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