Supply Requisition Form Summary

This is a Supply Requisition Form issued by the Office of the Secretary of State, Department of Physical Services (Asbestos Division) dated April 15, 2025, with Warehouse PO# ASB-04-0069. The requisition is directed to GRAINGER as the responsible entity and is being delivered to Daniel Dalluge at PC WAREHOUSE. The requestor, Daniel Dalluge, initiated this purchase order for the project titled "FILTER RESTOCK."

The requisition requests replacement filters and lens protection equipment for full-face negative pressure workers as justification for the purchase. Item #1 consists of 100 packages of P100 filters with full-face negative pressure (Grainger #4JG27, 3M MFR# 2091) at $8.01 per package, with an estimated arrival date of Thursday, April 17. Item #2 consists of 1 bag of 3M face shield covers (3M Part# 6885) priced at $327.41 per unit, also expected to arrive April 17. The order total is $1,128.41 with no tax assessed and FREE estimated shipping. The quote from GRAINGER (Quote Group #1) shows the awarded status with the amount of $1,128.41, and the purchase has been approved by the Purchasing Facilitator as of April 15, 2025.