1. PURCHASE ORDER REQUEST
  2. GENERAL FUND
  3. Items to be ordered, including the following information:
    1.  Quantity Catalogue/Cart # Description Price/Item Total
  4. Department Head


PURCHASE ORDER REQUEST

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GENERAL FUND

 
Please provide the following information: PO Request No.
 
 
Vendor Name
Address
Dept. Budget Name
 
Fax #
Phone # Person Ordering Items
 

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Items to be ordered, including the following information:

 



Quantity Catalogue/Cart #DescriptionPrice/ItemTotal
     
     
     
     
     
     
     


SPECIAL INSTRUCTIONS:

 ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

    Sub-Total  

 

Account Code:     Shipping  

 

    Sub-Total  

   

Signature of Department Head     Sales Tax @ 9.6%  

 

________________________________________ Grand Total  

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Department Head

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