Southern Kennebec Child Development Corporation
Requisition Form: Janitorial Supplies
Center/Location: / ____ / Request Date:Person Requesting Items: / Date Needed:
Signature of Authorizing Manager: / Date:
Item Description / Unit of Measure / Item # / Qty Ordered / Back Ordered
Fabuloso All-purpose Neutral Cleaner / 32 oz. spray bottle / CPM-53300EA
Boardwalk Heavy-Duty Ammonia-Free Glass Cleaner / 32 oz. spray bottle / BWK-34112EA
Boardwalk Heavy-Duty Ammonia-Free Glass Cleaner Refill / gallon refill / BWK-3414
Clorox Toilet Bowl Cleaner with Bleach / 24 oz. bottle / COX-00031EA
Non-Acid Disinfectant Restroom Cleaner / 32 oz. bottle / SLD6192622
Comet Powder Cleaner with Chlorinol / 21 oz. canister / PAG32987EA
Ultra Palmolive Dishwashing Liquid / 25 oz. bottle / CPM46112EA
Ultra Palmolive Dishwashing Liquid Gallon Refill / gallon refill / CPM-04910
Saalfeld Liquid Bleach / gallon / SLD6003736
Lysol Disinfectant Spray, Linen / 19 oz. aerosol can / RAC74828EA
Sani-Cloth Disinfectant Wipes / Canister (200 sheets) / NICP22884
Boardwalk Low Suds Powder Laundry Detergent / 40 lb. pail / BWK-HURACAN40
Boardwalk Furniture Polish, Lemon / 19 oz. aerosol can / BWK-346A
Resolve Foam Carpet Cleaner / 22 oz. aerosol can / RAC00706
Misty Neutral Floor Cleaner EP, Lemon / gallon / AEPB18044
#20 Cotton Cut-End Wet Mop / each / GSS20NCC5WEA
60” Jaw Mop Handle / each / GSSHWFJEA
Moisturizing Hand Soap w/Aloe / 8 oz. pump bottle / BWK8500
Moisturizing Hand Soap w/Aloe Refill / gallon / CPM01900EA
Soft Facial Tissues / box (100 sheets) / HVN410062
Boardwalk Liquid Hand Soap / 8 oz. pump bottle / BWK8500EA
Toilet Bowl Mop / each / UNS160
Unisan Angler Broom, plastic bristles, 42” wood handle / each / UNS932A
8 – 10 Gallon Trash Bags / package (100 count) / HERZ4824RNR01
12 – 16 Gallon Trash Bags / package (500 count) / HERH4832HB
60 Gallon Trash Bags / package (100 count) / HERX7658PK
Vinyl Gloves – latex free - small / box (100 count) / CSWVGPCPFGS
Vinyl Gloves – latex free – medium / box (100 count) / CSWVGPCPFGM
Vinyl Gloves – latex free – large / box (100 count) / CSWVGPCPFGL
Vinyl Gloves – latex free – extra large / box (100 count) / CSWVGPCPFGXL
Forward to Fiscal Office following approval by Senior Management as indicated by signatures below.
Senior Manager: / Date:
Executive Director: / Signature of Approval / Date:
Signature of Approval