ATLANTA POLICE DEPARTMENT	Control #
Purchase Requisition	(Obtain Control # through Procurement Control Number Generator)
Page	of
Instructions: Please use one company per requisition
Requesting Division	Section	Unit
Company Preferred

Contact Person

Contact Person/PRO	Email
Address

Phone	Fax	Date
City/State/Zip	Phone
FORMAL QUOTES ATTACHED	Yes
No
Email	Fax	SS# or FED Tax ID
Item

Detail Description

(Must include make/size/color/etc)

Qty	Contract Item#/

Catalog#/Page#

(attach copy if

applicable)	Model/ Part/

Product #s	Price

Per Unit	Total

Price
Justification of request:	SUBTOTAL

(of attached pages)
GRAND

TOTAL
Requester’s name
Date

For FMU Use Only
Unit Commander
Date
Date Received
Section Commander
Date
Date Processed
Division Commander
Date
Entered By
Approved FMU
Date
FAC #
SSD Commander
Date
P.O. #

Form APD 707 Revised 5/11/06

VLivsey

2006-05-11

Atlanta Police Department