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Business Office Used/recycled Furniture Request Form

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Rev. 8/23/16 SCHOOL DISTRICT OF LANCASTER - BUSINESS OFFICE USED/RECYCLED FURNITURE REQUEST FORM DATE OF REQUEST: REQUISITIONER: SCHOOL/LOCATION: ROOM #/LOCATION (where furniture is to be delivered) EXTERNAL & INTERNAL PHONE #’S: PRINCIPAL/SUPERVISOR NAME: PRINCIPAL/SUPERVISOR SIGNATURE: ______________________________________________________________________ NOTE: The Purchasing Manager will try to match your preferences, but if not available, she will send what is available. If you will not allow a substitute, please state that in your note section. INSTRUCTIONS: Fill in quantity of item desired below and any notes (to provide additional details, if applicable). Indicate if it is new or a replacement and the reason it is needed. Print spreadsheet & have signed by your principal or supervisor. Scan & email (or inter-office) completed Request Form to: Ilene Schenkel (Purchasing Manager) at C&M, 3rd North ([email protected]). If item is available, Purchasing Manager will put in a Facilities work order to have it moved to you and will let you know of this via email. If item can't be found, Purchasing Manager will contact you. Allow estimated 7-10 business days for delivery. Item Picture Description Teacher Desk 30" x 60" double pedestal, box/, LH & RH, Chrome leg, with center drawer with lock, may not be same color as picture Teacher Desk 30" x 66" single pedestal, file on right side, with center drawer with lock, may not be same color as picture Desk Return Goes with single pedestal desk- CHECK PREFERENCE: LEFT HAND RETURN RIGHT HAND RETURN Open front, solid platinum box and frame, adjustable from 21" to 29", 18" x 24" work surface, solid plastic top, w/metal based glides Student desk Teacher chair Teacher chair, mid-height seat back, with arms, chrome, pneumatic height adjustment, swivel Executive Chair Exec,High-Back,Swivel-Tilt desk chair Arms Secretarial Chair Task, Swivel chair without arms #1523, Non-adjustable, 13 1/2" height, w/metal based glides, hard plastic seat and back, x-brace stackable, sand color back/seat Student Chair #1525, Non-adjustable, 15 1/2" height, w/metal based glides, hard plastic seat and back, x-brace stackable, sand color back/seat Student chair #1527, Non-adjustable, 17 1/2" height, high school level, w/metal based glides, hard plastic seat and back, x-brace stackable, sand color back/seat Student chair Student Chairs (FOR SCHOOLS ONLY) RENOVATED Hard plastic, four Leg chrome Base, Armless, charcoal only, 14" Quantity Notes New or Replacement? and Provide Reason Student Chairs (FOR RENOVATED Hard plastic, four Leg chrome Base, Armless, charcoal only, 16" RENOVATED Hard plastic, four Leg chrome Base, Armless, charcoal only, 18" SCHOOLS ONLY) Student Chairs (FOR SCHOOLS ONLY) Mixed chairs, may or may not have fabric seat, may be a molded plastic or a separate seat & back- PUT PREFERRED COLOR IN NOTES COLUMN Stacking Chairs (adult size) Mixed chairs, CHECK PREFERENCE BELOW, PUT ANY DETAILS IN NOTES COLUMN: WITH ARMS NO ARMS MOLDED PLASTIC SEAT/BACK FABRIC SEAT, PLASTIC BACK Stacking Chairs (elementary size) Mixed chairs, may or may not have fabric seat, may be a molded plastic or a separate seat & back CHECK PREFERENCES, PUT ANY DETAILS IN NOTES COLUMN: WITH ARMS NO ARMS WHEELS NO WHEELS Guest Chairs/Conference Chairs 60Wx30D Rectangle activity style table four adjustable height legs-CHECK PREFERRED TOP: natural maple (light wood color) top light/white top gray top darker wood laminate top Table, 60W x 30D 720Wx30D Rectangle activity style table four adjustable height legs-CHECK PREFERRED TOP: natural maple (light wood color) top light/white top gray top darker wood laminate top table 72"W x 30" d 48Wx24D Rectangle activity style table four adjustable height legs-CHECK PREFERRED TOP: NATURAL MAPLE (light wood color) TOP LIGHT/WHITE TOP GRAY TOP DARKER WOOD LAMINATE TOP table 48"W x 24"D Table, Round - 36"Diameter 30" height, with adjustable legs - CHECK PREFERRED TOP: NATURAL MAPLE (light wood color) TOP LIGHT/WHITE TOP GRAY TOP DARKER WOOD LAMINATE TOP Table, Round - 48"Diameter 30" height, with adjustable legs - CHECK PREFERRED TOP: NATURAL MAPLE (light wood color) TOP LIGHT/WHITE TOP GRAY TOP DARKER WOOD LAMINATE TOP Table, 72W x 48 D 72Wx48D Kidney Shape activity style table four adjustable height legs-CHECK PREFERRED TOP: NATURAL MAPLE (light wood color) TOP LIGHT/WHITE TOP GRAY TOP DARKER WOOD LAMINATE TOP MISC. COLOR CHECK PREFERRED STYLE & PUT DIMENSIONS/DETAILS IN NOTES COLUMN: SEMI-CIRCLE TRAPEZOID OCTAGON CONFERENCE (SEATS 8) OTHER TABLE Table, Miscellaneous File Cabinet Vertical , 4 drawer, Letter size -CHECK PREFERENCES: GRAY BLACK TAN PUTTY WITH LOCK LOCK NOT NEEDED File Cabinet Lateral, 4 drawer, 30W, letter size-CHECK PREFERENCES: GRAY BLACK TAN PUTTY WITH LOCK LOCK NOT NEEDED File Cabinet Lateral, 4 drawer, 42W, letter size-CHECK PREFERENCES: GRAY BLACK TAN PUTTY WITH LOCK LOCK NOT NEEDED File Cabinet File Cabinet Vertical file, 2 drawer, 15" wide, letter size-CHECK PREFERENCES: GRAY BLACK TAN PUTTY WITH LOCK LOCK NOT NEEDED Lateral, 2 drawer, 30W x 19"D, letter size-CHECK PREFERRED COLOR: GRAY BLACK TAN WITH LOCK LOCK NOT NEEDED PUTTY Tall, storage cabinet, 2 doors open to center, approximate dimensions: 18 x 36 x 72 inches, may be black, tan, or gray - CHECK PREFERENCES: GRAY BLACK TAN PUTTY WITH LOCK LOCK NOT NEEDED 2-Door Cabinet Hard plastic, usually sand color top, chrome frame, adj height 18"-24", metal based glides Not usually available in the warehouse Stools, adjustable Chairs, Folding Chairs, Folding Bookcase, Metal, 4 shelves Metal, w/double rear cross braces, vinyl padded seat and back-CHECK PREFERRED COLOR: GRAY BROWN TAN BLACK Metal, w/double rear cross braces, no pads-CHECK PREFERRED COLOR: GRAY BROWN TAN BLACK Metal, 11 1/2 d x 34 1/2 w x 58"H -CHECK PREFERRED COLOR: GRAY TAN PUTTY BLACK Metal, adjustable shelves, 11 1/2D x 36W x 60 1/8H, CHECK PREFERRED COLOR: GRAY TAN PUTTY BLACK Bookcase, 60" wide, 5 shelves Metal, adjustable shelves, 11 1/2D x 36W x 72 5/8H CHECK PREFERRED COLOR: GRAY TAN PUTTY BLACK Bookcase, 36" Wide, 6 shelves Other - Please provide all details dimensions, color, etc. *Metal Shelving - I have miscellaneous pieces, hardware, etc. that need to be assembled by your Building Engineer. If needed, please contact me via email.