THE DOCUMENT COMPANY
Supplies XEROX
Signature (Responsible Manager) Disposition Data
9/19/96 Page 2 of 2
Xerox Toner
• Yes • No
Xerox Media
• Yes • No
What?
What?
Separate Supply Customer Number If yes.
• Yes • No
Proposed Product / System
Exception Requested (Be specific; What?; Term?)
Key Information: (Current Pricing, Terms. Exceptions already in place or, are being considered, specific competitive threat)
If the exception is approved, the projected order close date is
Install data is
Date received in Headquarters
The following action has / have been taken or approved:
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