PURCHASE ORDER REQUISITION (POR)
DATE TODAY INITIATOR DATE TO RECEIVE GOODS/SERVICE
SUGGESTED SUPPLIER(S): CURRENCY: CANADIAN US $ Other - specify __________
SHIP GOODS TO:
Default - Central Receiving, 10 King St, Sackville
If Alternate Location, Identify Bldg:________________________
Goods to be Picked up at Supplier’s Address
SERVICES PERFORMED AT:
The
Supplier’s Address
On Campus, Identify Building:____________________________
TEL: FAX:
MEANS OF SHIPMENT TO BE SELECTED BY:
PURCHASING SUPPLIER
COST OF SHIPMENT:
NOT INCLUDED IN PRICES INCLUDED IN PRICES
PO TYPE: (PLEASE COMPLETE)
GOODS ONLY LABOUR ONLY JANITORIAL SERVICE GOODS AND LABOUR RENTED EQPMT WITH OPERATOR
QUANTITY SPECIFICATIONS: (Catalogue No, Size, Type, etc.) UNIT
PRICE
TOTAL
PRICE
NOTES:
Supplier Quotation/Reference No: _________________________(attach all supplier quotations)
Handling / Shipping $
SUB TOTAL $
NB. PST EXEMPTION: HST @ 15% $
I hereby certify that the machinery and equipment and/or complete parts identified above will be used _________ %
of their life directly in qualifying research and development and thus is (are) exempt as indicated of the NB Sales Tax.
TOTAL $
SIGNING OFFICER
BUDGET ACCOUNT NUMBER
COMPUTING SERVICES
DEAN
VICE-PRESIDENT
FINANCIAL SERVICES
TAX CODE
PO #
WHSCC CERTIFICATE:
YES NO Not Registered
PO TYPE:
S G L J A R
WHSCC EXP DATE:
