CTE/STEM
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PURCHASE ORDER PRE-APPROVAL REQUEST
Requested by: Date:
| Vendor:
| Ship to:
|
| Address:
| Attention:
|
| City, State:
| Address:
|
| Phone:
| City, State:
|
| Fax:
| |
Reason for Purchase:
Purchase Order Request: [ ] Credit Card Order Request: [ ]
ITEM & ISBN DESCRIPTION PRICE Qnty. Total
Subtotal: $
S & H
Tax 9.2%
Total Request: $
(Signature of Requestor)
Budget Authorization:
(Carl. L. Fender, CTE Director)
(Date)
Budget Code:
RETURN AUTHORIZED REQUEST TO Diane Storm. THANK YOU!
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