Sandhills Community College
Equipment Purchase Order Request
TO: Business Office Date: ________________________
FROM: ___________________________________
(Department)
Item No.
Quantity
Ordered
Commodity No. and Description
(Catalog No. Model No., etc.)
Unit
Price
Total
Price
North Carolina Contract Certification # __________________________
Vendor Number __________________________
ITEMS ON REQUEST IS CLASS __________ AND WILL BE USED FOR PROGRAM CODE _______
EQUIPMENT WILL BE LOCATED: ___________BUILDING ____________ROOM NUMBER
BUDGET INFORMATION: Requested by: ______________________________________
_______________________________
Approved by: ______________________________________
(Dept. Chair or Supervisor)
Approved by: _______________________________
(Director or Dean)
Approved by: ______________________________________
(Authorized Signature / Business Office)