Requisition-Purchase Order
From: Yuma School District-1
418 South Main Street
P.O. Box 327
Yuma, Colorado 80759-0327
Purchase Order Number
Date Requisitioned
Fund Account Code
Fund Account Name
Supplies Equipment Other
Ship To:
Our Tax Exempt Number is 98-03357-0000
Instructions, Terms and Conditions
1. Render separate invoices for each and every shipment. 2. Mail invoice to: Yuma School District-1, P.O. Box 327, Yuma, Colorado 80759. State or
other taxes from which public schools are exempt shall not be shown on your invoice. (See tax exempt number above) 4. Packing lists showing
purchase order number must accompany all shipments. 5. We reserve teh right to reject any shipment not in accordance with our purchase order.
Ordered Received Item # Description Unit Price Total Price
Requisitioned by
Principal or Supervisor
Purchasing Agent
Total Price
The Above
Purchase Order Number
Must Appear On All
Invoices, Packages, Etc.
Do not forget to include Shipping and Handling when appropriate.
$ 0.00
Shipping and Handling
$ 0.00
Print Form
Reset Form