Email address
info@obmc.org
281-341-3000
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Richmond, Texas
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Accounting
Department
Human Resources
IT Department
Imaging Department
Pharmacy
Teams
CEO Executive Team
Board of Directors
Medical Staff Leadership
COVID-19
Forms
Contest Form
OakBend Staff Feedback Form
Compliances
Business Office
Lean Daily Management
Quality
Supply Chain
Purchase Request Form
Home
Purchase Request Form
Your name
Your email
Request Date
Department Name
Senior Leader Name
Senior Leader Email
Description of Item(s)
Reason For Purchase
Vendor Name
W-9 Obtained? (Submit W-9 for all new vendors)
Yes
No
Total Costs
This is item a Laptop or Computer?
Yes
No
Check Needed?
Yes
No
PO needed?
Yes
No
Who is responsible for purchasing this (Please type the OakBend email for the person responsible for purchasing this item. If you do not know who should purchase this, please type "Account Manager" and he/she will help identify the person responsible.)
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