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Custodial Supply Ordering System

Please complete the form below. To be completed by CAMPUS PRINCIPALS only. Required fields marked with an asterisk *

Name of Principal/Administrator Submitting Request:*

Answer Required

Campus*

Answer Required

Bar Cloth

(1=12 rags)

Answer Required

Brown Roll Towels

(1=6 rolls)

Answer Required

Toilet Paper

(1=12 rolls)

Answer Required

Towels

(1=48 towels)

Answer Required

Vacuum Bags

(1=1 package)

Answer Required

Vacuum Belts

(1=1 belt)

Answer Required

Large Hand Soap

(1=4 bags)

Answer Required

Large Soap Dispenser

(1=1 dispenser)

Answer Required

Large Trash Can Liners

(1=80 bags)

Answer Required

Small Trash Can Liners

(1=1 case)

Answer Required

Feather Dusters

(1=1 duster)

Answer Required

Dust Mop Treatment

(1=1 can)

Answer Required

Dust Mop Heads

(1=1 head) Size@ 20,24,32,34,38 (Please put size)

Answer Required

Mop Handle (Fold Over)

(1=1 handle)

Answer Required

Mop Handle (Screw)

(1=1 handle)

Answer Required

Mop Head (Fold Over)

(1=1 24 oz)

Answer Required

Mop Head (Screw)

(1=1 16 oz)

Answer Required

Swiffer Handle

(1=1 box)

Answer Required

Swiffer Refill

(1=1 box)

Answer Required

Sanitary Napkin Disposal

(1=1 case)

Answer Required

Toilet Bowl Cleaner

(1=1 bottle)

Answer Required

Toilet Deodorizing Rim Cage

(1=1 case)

Answer Required

Urinal Screen Block

(1=1 case)

Answer Required

Clorox Bleach

(1=1 gallon)

Answer Required

Clorox Wipes

(1 = 1 pail)

Answer Required

Comet

(1=6 cans)

Answer Required

Computer Air Blowers

(1=1 can)

Answer Required

Consume-Bacterizer

(1=1 bottle)

Answer Required

Dishwashing Soap

(1=1 bottle)

Answer Required

Disinfectant Spray

(1=1 bottle)

Answer Required

Febreeze

(1=1 gallon)

Answer Required

Furniture Polish

(1=1 can)

Answer Required

Greenlight Floor Cleaner

(1=1 gallon)

Answer Required

Gum Remover

(1=1 can)

Answer Required

Laundry Detergent

(1= 1pail)

Answer Required

Mr. Clean Floor Cleaner

(1=1 gallon)

Answer Required

Mr. Clean Magic Eraser

(1=1 box)

Answer Required

Pine Sol

(1=1 gallon)

Answer Required

Scrubbing Bubbles

(1=1 can)

Answer Required

Spic N Span

(1=1 gallon)

Answer Required

Stainless Steel Cleaner

(1=1 can)

Answer Required

Vomit Cleanup

(1=1can)

Answer Required

Hand Sanitizer - Small bottle

(1=1 bottle)

Answer Required

Hand Sanitizer - Large

(1=1 gallon refill)

Answer Required

Gloves

(1=1 box, indicate size needed)

Answer Required

Lysol Spray

(1=1 can)

Answer Required

Masks

(1=1 box)

Answer Required

Items requested not listed on form:

Answer Required