Fillable Purchase Order Change Request (Valencia College)

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Purchase Order Change Request (Valencia College)

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April 2017
PURCHASE ORDER CHANGE REQUEST
Please read:
A Change Order is required when the department requests a change to the original
Purchase Order. Complete this Change Order Request form and e-mail it to
ValenciaProcurement@valenciacollege.edu along with ALL supporting documentation.
Purchase Order Number (P+7 digits): P____________________________________________
Supplier Name: _______________________________________________________________
Index (6 digits): _________________ AND Account Number (6 digits): _________________
Increase Decrease Line #: _____________________
Quantity Previous Quantity: ___________ New Quantity: ______________
Unit Price Previous Amount: $___________ New Amount: $______________
Line Description (Brief): ________________________________________________________
Original PO Total: $__________________ Current PO Amount: $____________________
Amount of Change: $__________________ PO New Total: $____________________
Reprint Purchase Order? Yes No
Reason for Change and/or Special Instructions:
____________________________________________________________________________
Name: _____________________________ Dept.: _____________________________
Date: __________________ Location: _________________ Ext.: ____________
Budget Manager Authorized Signature: _____________________________________________
Please e-mail to: ValenciaProcurement@valenciacollege.edu
Questions relating to completion of this form, call 407-582-5542 or 407-582-3004
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Purchase Order Change Request (Valencia College)

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Completed 18 July 2020

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