MOMSOFTWARE PAGE: 001 Approved Requisitions ID #: PO-VQ Requisition # A90610002 1 CTL.: MOM ***Note: This is for internal use only*** 06/10/09 Required By....: 06/11/09 Vendor..: MCKINLEYVILLE VILLAGE Deliver.: SUNSET VALLEY 11700 Valley Road Santa Rosa Hayward, CA Santa Rosa, TN 94536 Attn.: FRED D DUSSELMAN Attn.: JACOB SMITH Phone.: (510)234-3555 Phone.: (123)434-3555 Ship Via: AIR MAIL F.O.B...: AIR MAIL FOB Line Description Unit Amount Extension ---- -------------------------------------------------- ----------- ----------- 0001 9.0 EA 10.00 90.00 RRR1 Account Id Amount -------------- ----------- 211 11121 1121 90.00 * Over Budget * ------------------------------------------------------------------------------- Page Total: 90.00 ---------------------------------- Requisition Total: 90.00 ================================== ** Item(s) on this requisition are over budget. ** Approved by: JOE SMITH Line Description Unit Amount Extension ---- -------------------------------------------------- ----------- ----------- 0001 1 EA .02 .02 Account Id Amount -------------- ----------- 100 30000 1000 .02 ------------------------------------------------------------------------------- Page Total: .02 ---------------------------------- Purchase Order Total .02 ================================== Approved by: JOHN SMITH