Fillable CAMDEquipPrePurchFrm - CAMD Equipment PrePurchase Form

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CAMDEquipPrePurchFrm - CAMD Equipment PrePurchase Form

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CAMD Equipment Pre-purchase Form
(Attach to purchase order)
Requestor’s Name______________________________________________________________
Requestor’s Phone Number_______________________________________________________
Requestor’s Initials/Supervisor’s initials_____________________________________________
Has designated space been identified? Yes No
Will any facility modifications be required? Yes No If yes, describe below
Modifications to be completed
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Anticipated receipt date of equipment:_______________________________________________
Anticipated installation date:______________________________________________________
Contractor installation included? Yes No
Contractor’s Name (If Applicable)__________________________________________________
Contractor’s Phone Number_______________________________________________________
Approved_____________________________________ Date________________
David Kleinpeter
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CAMDEquipPrePurchFrm - CAMD Equipment PrePurchase Form

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Completed 17 April 2020

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