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Office Supply Request Form

COUNTY OF SAN DIEGO

 

FACILITY NAME OFFICE PRODUCTS ORDER FORM

 

Email to:

 

Receiving Department

ADDRESS

Standard items are listed. Blank lines are provided for special item orders at bottom. Please include reason for special item requests. Note: Special requests require supervisor’s signature (standard orders require only employee signature). Submit completed forms to Receiving Department via email:

Ordering Unit or Dept.

 

Requestor:

 

Date

Instructions: Fill in Quantities needed. All other fields are preset.

 

QTY

U/M

SUPPLIER

DESCRIPTION

CS

112350

Copy Paper Letter Size, White 10 Reams/Case

RM

112380

Copy Paper Legal Size, White (8 ½ x 14)

RM

512215

Copy Paper Ledger Size, White (11 x 17)

EA

26300

Binder 1” D” Ring 270 Sheet Capacity White VU

EA

26310

Binder 1½” D” Ring 375 Sheet Capacity White VU

EA

26320

Binder 2” D” Ring 540 Sheet Capacity White VU

EA

26330

Binder 3” D” Ring 600 Sheet Capacity White VU

EA

26340

Binder 4” D” Ring 890 Sheet Capacity White VU

EA

26350

Binder 5” D” Ring 1100 Sheet Capacity White VU

PK

62210SSCY

Note “Post It” 1 7/8X 1 7/8” 10 Pads/Pk 90, Sheets/Pad

PK

52569

Note “Post It” 3” X 3” 100 Sheets/Pad, 18 Pads/PK

PK

52571

Note “Post It” 3” X 5” 100 Sheets/Pad, 12 Pads/PK

PK

6605SSCY

Note “Post It” 4” X 6” Lined 90 Sheets/Pad, 5Pads/PK

EA

24016

Highlighter Blue

EA

25009

Highlighter Pink

EA

29203

Highlighter Yellow

EA

25026

Highlighter Green

DZ

13882

Pencil #2

BX

35710

Push Pin Box Assorted Colors

BX

10525

Sheet Protector Top Load Non-Stick Standard Weight 200/Box

BX

35450

Staples, Premium 5000/Box

BX

64112

Reinforcing Strip Self Adhesive 1” X 10¾” 200/Box

RL

810K12

Scotch Tape ¾” X 1000” Refill Each

RL

2090-18E-G

Tape, Blue Painters

PK

Tze-231

Label Tape, Brother TZE-231

BX

5960

Labels, Avery 5960

DZ

1803472

Pen Retractable Black Medium Ballpoint 1mm

DZ

50794

Pen Retractable Blue Medium Ballpoint 1mm

DZ

80001, 80003, 8004

Pen Dry Erase, 12PK, Mixed Pack of Black, Blue, Green

DZ

30001

Sharpie, Fine Point, Black

DZ

10403-CC

Permanent Marker Black Chisel Point

DZ

18892

Permanent Marker Red Chisel Point

EA

ST57300

Writing Pad 8½” X 11¾” 50 Sheets/Pad Yellow

EA

ST57339

Writing Pad 8½” X 11¾” 50 Sheets/Pad White

EA

ST57342

Writing Pad 8½” X 14” 50 Sheets/Pad White Legal

EA

ST57354

Steno Book 6” X 9” 80 Sheets Green Tint Lined Pages

EA

E556

Glue Stick .26oz Permanent Clear Drying for Paper

PK

72377

Paper Clip Regular 100/Box

PK

72577

Paper Clip Jumbo 100/Box

BX

ST541077-CC

File Folder Letter Size Cut 100/Box

BX

ST56680-CC

File Folder Legal Size Cut 100/Box

EA

MMMC38BK

Tape Dispenser Desktop uses 1” Core Scotch Tape

PK

680-RD2

Flag Post-It Red 100 Flags/PK

PK

684-SH

Flag Message “Sign Here” ½” 4 Color Dispenser

EA

WOFQD12-WHT

Correction Fluid White All Purpose Foam Applicator

EA

50589

Correction Tape Single Line White 472”/Dispenser

PK

15350

Binder Clip Mini ⅗” Wide ¼” Capacity 12/Pk

PK

32002

Binder Clip Small ¾” Wide ⅜” Capacity 12/Pk

PK

32003

Binder Clip Medium 1¼” Wide ⅝” Capacity 12/Pk

PK

72100

Binder Clip Large 2” Wide 1” Capacity 12/Pk

EA

23143

Clipboard Plastic Smoke 9” Wide X 12⅜” Long

BX

19272

Envelope Brown Self Sealing 10” X 13” 100/Bx

BX

19267

Envelope Brown Self Sealing 6” x 9” 100/Bx

BX

19024

Envelope Brown Self Sealing 9” x 12” 100/Bx

BG

28615-CC

Rubber Band #16 Size 2½” X 1/16” 1/4 lb Bag

BG

28624-CC

Rubber Band #19 Size 3½” X 1/16” 1/4 lb Bag

EA

40501

Stapler, Desktop, Manual

PK

18220

Thermal Roll 2 ¼” x 165’ 3 PK

BX

5967

Avery 5967 Labels, 250 Sheets/Box

 

SPECIAL REQUESTS

QTY

ITEM

REASON

 

Employee Signature X

 

Only required for special requests:

Supervisor Signature X




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