County College of Morris
Purchase Order/Blanket Purchase Order Change Request
Route to Purchasing Department when completed:
E-mail to Purchasing
Have Questions? E-mail Purchasing or phone extension 5045
Date:
Initiator: Dept.: Ext:
Vendor: PO/BPO #:
Encumbrance Change
Account #
Amount of
Increase:
Amount of
Decrease:
Revised Purchase
Order Amount
*The Purchase Order
Amount:
is the total amount prior
to the increase/decrease.
It is not the available
remaining funds.
Revised Total Encumbrance:
Department Approval and Date: Purchasing Approval and Date:
Budget Transfer Required:
Board Approval Required:
(Attach copy of approval)
Yes: No:
Yes: No:
Budget Transfer Submission Date :
Date Board Approved :
Note: 1. Bid Thresholds may require Board Approval
Purchasing-Processed By/Date:
2. Change orders for Capital Projects over
$15,000.00 require Board Approval
Item Description:
Purchasing Use
*Purchase Order Amount:
Justification for
increase/
decrease:
Purchase Order Change Request - Eform - Rev. 3-2016