LIMITED VALUE ORDER (LVO) / PAC ORDER NUMBER
UCLA DEPARTMENT OF PHYSICS & ASTRONOMY
UCLA INSTITUTE OF PLASMA & FUSION RESEARCH
I.D.# / LOC / ACCOUNT / CC / FUND / PROJECT / SUB / OBJECT / SOURCE / AMOUNT
PK27 / 4 / 444025 / HS / 57637 / 08 / 9660 / 352.19
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4
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VENDOR / Name: Digi-Key
ADDRESS 701 Brooks Avenue South
CITY Thief River Falls, MN 56701-0677
PHONE NO. 218-681-6674
FAX NO.218-681-3380
SALESPERSON
/ ORDERED
BY / REQUESTER Jay Hauser DATE 5/8/2003
PHONE NO. 310-206-4547 DATE NEEDED
P.I. / REQUESTER’S SIGNATURE______
APPROVAL SIGNATURE______
ORDERED BY DATE
DELIVERY DATE ______ATTN:
______
BILL TO / INVOICE IN DUPLICATE TO:
UNIVERSITY OF CALIFORNIA
BUSINESS & FINANCE - ACCOUNTS PAYABLE
10920 WILSHIRE BLVD., 5TH FLOOR
LOS ANGELES, CA 90024-6502 / SHIP
TO / ____ DO NOT SHIP - ITEM(S) TO BE WILL CALL __PICK UP
____ CONFIRMING ORDER - DO NOT DUPLICAT
___X_ SHIP TO: Jay Hauser
UCLA DEPARTMENT OF PHYSICS & ASTRONOMY
1-129 KNUDSEN HALL, LOS ANGELES. CA 90095-1547
_____ OTHER SHIP TO ADDRESS:
______
______
VENDOR: (IMPORTANT NOTE: THE ORDER NUMBER MUST BE INDICATED ON ALL PACKAGES, PACKING SLIPS, AND INVOICES)
IF YOU HAVE QUESTIONS OR IF UNABLE TO SUPPLY ALL OF THE ITEMS ORDERED, PLEASE NOTIFY THE DEPARTMENT SHOWN ABOVE REFERRING TO THE ABOVE ORDER NUMBER. / CALIFORNIA SALES/USE TAX: NO ____ YES __x__
TAX EXEMPT (IF APPLICABLE) YES ____
PERMIT NUMBER AS 18-083492
Please itemize all charges on your invoice. Show permit number when billing California Sales/Use Tax. If you are an individual proprietor or partnership, please indicate on your invoice your taxpayer reporting number (social security number or taxpayer identification number). The principal use of the number shall be to report payments to federal and state government agencies. The contract resulting from this order shall be written approval of the University Purchasing Department.
L# / QTY / UNIT / CATALOG NO. DESCRIPTION / PRICE / TOTAL COST
1 / 4000 / Ea. / 311-1086-2-ND, / 0.0144 / 57.60
2 / 750 / Ea. / PCS2476TR-ND / 0.36 / 267.75
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4
5
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8 / Subtotal / 325.35
9 / California sales tax 8.25% / 26.84
10 / Shipping
Total / 352.19