HomeMy WebLinkAboutOCDSB 903 Printer Request Form
PRINTER REQUEST FORM
SUPPLY CHAIN MANAGEMENT DIVISION
OCDSB 903 Finance (Sep 2017)
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Site: ___________________________________________________________________ Room #: _______
Deliver to address: _______________________________________________________ ASN: ______ PHO
PRINTER OPTIONS
Important: Prior to selecting a printer, contact Frank Cloutier via e-mail or telephone 613-596-8211 ext.
8320 to discuss your requirements.
Indicate Selection:
Level 1 – Black & White: USB (single user)
Kyocera P2135D printer USB (100-500 copies/month): all inclusive cost per copy of $0.055
Additional paper tray ($179.00)
Level 1 – Black & White: Networked (multiple users)
Kyocera P2135DN printer networked (100-500 copies/month): all inclusive cost per copy of $0.075
Additional paper tray ($179.00)
Level 1 – Colour: USB (single user)
Kyocera P6021cdn printer USB (100-500 copies/month): all inclusive cost per copy of $0.08 black &
white, $0.195 colour
Additional paper tray ($179.00)
Level 1 – Colour: Networked (multiple users)
Kyocera P6021cdn printer networked (100-500 copies/month): all inclusive cost per copy of $0.08
black & white, $0.20 colour
Additional paper tray ($179.00)
Level 2 – Black & White
Kyocera FS-2100DN printer networked (500-2000 copies/month): all inclusive cost per copy of $0.03
Level 2 – Colour
Kyocera P7035cdn printer networked (500-2000 copies/month): all inclusive cost per copy of $0.04
black & white, $0.10 colour
Level 3 – Black & White
Kyocera FS-4100DN printer networked (2000+ copies/month): all inclusive cost per copy of $0.02
If an existing unit being replaced, complete the following: Make/Model _____________ Serial No _______________
Reason for replacing: ______________________________________________________________________________
Once completed and signed by the Requester and Principal/Manager, forward this form via e-mail to
Frank Cloutier for processing.
AUTHORIZATION:
___________________________________ ____________________________________ David Elliott
(Print Name – Requester) (Print Name – Principal/Manager) (Print Name – Supervisor of Supply Chain Mgmt)
__________________________________ ____________________________________ _____________________________________
(Signature – Requester) (Signature – Principal/Manager) (Signature – Supervisor of Supply Chain Mgmt)
__________________________________ ___________________________________ _____________________________________
(Date) (Date) (Date)