Multidisciplinary Senior Design
Kate Gleason College of Engineering
Purchase Requisition
This form is to be used for purchases made by Chris Fisher in the Multidisciplinary Senior Design Office or to request reimbursement for project purchases.
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Project Name Project Team Number
Vendor: / Mouser ElectronicsVendor Contact:
Vendor Address: / Mouser Electronics, 1000 North Main Street
Vendor City/State/Zip / Mansfield/TX/76063
Vendor Phone Number: / (800)804-3888
Vendor Fax Number: / (817)804-3899
Vendor Email: /
Item / Qty / Part Number / Detailed Description / Unit Price / Extended Price
1 / 4 / SRS-1-640 / #4 size screw / $0.20 / $0.80
2 / 2 / 647-UVK2AR33MDD / 0.33 uF Capacitor / $0.17 / $0.34
3 / 1 / CBT25J1M0 / 1 M Resistor / $0.16 / $0.16
4 / 6 / 3362P-1-103TLF / 10k Trimmer / $1.51 / $9.06
5 / 2 / 22-23-2101 / 10-pin molex (Male) / $1.09 / $2.18
6 / 2 / 538-22-01-2105 / 10-pos Molex Connector (Female) / $0.85 / $1.70
7 / 1 / 9B-16.000MAAJ-B / 16 MHz Crystal / $0.46 / $0.46
8 / 2 / FK18C0G1H180J / 18 pF Cap / $0.19 / $0.38
9 / 1 / 810-FK14Y5V1H225Z / 2.2uF Ceramic Cap / $0.26 / $0.26
10 / 1 / 4828-3004-CP / 28 Pin Dip Socket / $0.39 / $0.39
11 / 6 / 571-3-640440-2 / 2-pin Molex Connector (Female) / $0.16 / $0.96
12 / 6 / 571-6404562 / 2-pin Molex Connector (Male) / $0.08 / $0.48
13 / 1 / CR2032 / 3 V CMOS Battery / $0.45 / $0.45
14 / 1 / ECS-.327-12.5-13X / 32.768 KHz Oscillator / $0.30 / $0.30
15 / 1 / 80-ESK337M050AH4AA / 330uF Electrolytic Cap / $0.30 / $0.30
16 / 1 / 571-6404563 / 3-pin Molex Connector (Male) / $0.16 / $0.16
17 / 6 / R8-32X5/8 / 8-32 size screw / $0.60 / $3.60
18 / 4 / SN74HC164D / 8-bit Shift Register / $0.49 / $1.96
19 / 4 / LM317KCSE3 / Adjustable Voltage Regulator / $0.53 / $2.12
20 / 4 / ACC38-A-C / Cable Tie Holder / $0.81 / $3.24
21 / 1 / S8421-45R / CMOS Battery Connector / $1.72 / $1.72
22 / 1 / PTN78020WAH / DC/DC Converter / $22.96 / $22.96
23 / 2 / DC56-11GWA / Dual 7-Segment Display / $1.90 / $3.80
24 / 4 / 74LVC244ADB,118 / Line Driver / $0.15 / $0.60
25 / 2 / 863-MC7805CDTRKG / Linear Regulator / $0.67 / $1.34
26 / 1 / ATMEGA328P-PU / Micro-Controller / $2.24 / $2.24
27 / 6 / 1590-2 / PCB Stand-Offs / $0.48 / $2.88
28 / 4 / STP16NF06 / Power MOSFET / $0.85 / $3.40
29 / 4 / 4816P-1-221LF / Resistor Array / $0.42 / $1.68
30 / 1 / WP154A4SUREPBGVGAW / RGB LED / $1.89 / $1.89
31 / 1 / 71-PTF565K9840BYEK / RSET Resistor (5.984kOhms) / $1.23 / $1.23
32 / 1 / DS1307+ / RTC / $4.00 / $4.00
33 / 3 / B3F-1000 / Tactile Switch / $0.24 / $0.72
34 / 4 / FA-T220-25E / TO-220 Heatsink (for Driver) / $1.56 / $6.24
35 / 1 / 571-3-640440-3 / 3-pin Molex Connector (Female) / $0.16 / $0.16
36 / 25 / 08-50-0030 / Cat Ear Crimp Terminal 22-30 AWG / $0.03 / $0.68
Sub-total / $77.76
Shipping & Handling: Standard UPS 2-Day Fed-Ex UPS Overnight Amount / $7.8
Total / $85.56
Student requester name and email(print): Kevin Fronczak / Date: 1/26/13
Reviewed by team purchasing agent (print): Trong Duong / Date: 1/26/13
Reviewed by Faculty Guide: / Date:
Financial Approval by Chris Fisher:
Account Number: / Date:
Special Instructions:
OFFICE USE ONLY
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Order Entered By and Date Date Order Received/ Initials
Complete Partial
Special Notes (backorders, partial order received):