Form 23348 - Request For Quotation / Invitation To Bid
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1REQUEST FOR QUOTATION /
RFQ/ITB
Date
Delivery date
Page
INVITATION TO BID
Issued by State of Indiana
Fund / Object / Center:
State Form 23348 (R12 / 11-00)
Dept. number:
Approved by State Board of Accounts, 2000
Project number:
Requisition number:
Buyer:
Vendor
Reporting code:
Remit to:
Federal ID:
Agency number:
Facility:
Name & address
of vendor :
Ship to:
Please Follow Instruction On Reverse Side
Must be returned by (time and date):
Request information from buyer above.
NOTICE: All prices are assumed valid for ninety (90) days from Quotation opening date unless otherwise noted.
**
Line
Quantity
UOM
Item No Description
(FOB Destination)
Unit Price
Extended Amount
Representative Signature certifies no quotation on this request
When can you ship?
To be valid, all quotations/bids
has been submitted by officers, representatives or an affiliate of
must be signed manually
this firm under another name.
The State of Indiana reserves
Telephone number
Please correct above address
Typed name of representative
the right to accept or reject the
(
)
whole, or any part of, the
Date of Quotation
Title of representative
fo reg oin g qu otati on/b id.
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Parent category: Financial