PERALTA COMMUNITY COLLEGE DISTRICT
Memorandum Approval Request for Contracts,
Change Orders & Addendums
Created by: BC
DATE:
TO:
FROM:
SUBJECT:
Enclosed for your review and approval are the following action items:
SECTION 1 - DESCRIPTION OF SERVICES
Vendor #:
Amount:
Board Approval Attached:
Yes N/A
Background:
Vendor:
Funding Source:
Contract Type:
Requisition #:
Budget Codes:
Note(s):
SECTION 2 PRELIMINARY APPROVALS
Department/Unit Manager
Date
DEPARTMENT:
Business/Budget Officer
Date
College President/Vice Chancellor
Date
Purchasing Officer
Date
______________________________
_____________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
1. Department/Unit Manager
______________________________
3. College President/Vice Chancellor
______________________________
_
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
Budget Name:
____________________________
2. Budget Officer/Verification of Funds
______________________________
444... Purchasing Department
__________________________________________________________________________________________
5. Vice Chancellor of Finance & Administration
______________________________
Vice Chancellor
Date
6. Chancellor
______________________________
Chancellor
Date
CTS Ticket #:
_______________________
Board Approval Date:
___________________