Albany State University Albany, Georgia 31707 (229) 500-3103
Albany State University, a Unit of the University System of Georgia, is an equal opportunity affirmative action institution.
FA 02/19
Date:
Need by:
Prepared by:
Department Name:
Procurement Use Only
DATE RECEIVED:
PURCHASE ORDER #:
PURCHASE REQUISITION
Send one (1) copy to Purchasing with supporting documentation. If a grant is being charged, please send to Budgets & Contracts first.
Supplier:
DELIVER ORDER TO:
Address:
Campus
(East or West):
Contact Name:
Department:
Contact Info:
Building/Room #:
Phone #:
BUDGETS TO BE CHARGED
Fund
Department
Program
Class
Project
Amount
%
PURPOSE OF ORDER:
Paper requests are required to have two approvals. All supporting documentation must be attached to the requisition. Technology purchases require
Electronic Data Processing (EDP) approval forms.
DO NOT PLACE AN ORDER OR OBLIGATE FUNDS WITHOUT A VALID PURCHASE ORDER NUMBER FROM PURCHASING.
Item No.
Description
Quantity &Unit
Unit Price
Total Price
Attach a second page if necessary.
(if applicable) Enter TOTAL from second page:
Grand Total
Initial Approver: _____________________________________ (Required) Date: ________________
Approver: _____________________________________ (Required) Date: ________________
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
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