Curriculum

Non-Allocated Budget Item Request

Lee’s Summit R-VII School District

Page__________

(Page Number Indicates Priority)

School Name:_________________________ Requestor:________________________

Date:________________________________ Contact Number:___________________

Description of Need:_____________________________________________________

_____________________________________________________________________

Furniture/Equipment:

Potential

New Item:_____ Replacement:_____ Vendor Source:_______________________

Estimated Cost:___________________

Schedule a pick-up for: _____ Trade-in on new item _____ Removal from premises

Construction/Remodeling:

Estimated Cost:__________________

Other Projects:

Estimated Cost:__________________

_____________________________________ _______________________

Budget Manager’s Signature Date

_____________________________________ _______________________

Superintendent’s Operational Team Member Signature Date