CCSU Foundation, Inc.
serving Central Connecticut State University
PURCHASE ORDER
Bill to: CCSU Foundation, Inc.
P.O. Box 612
New Britain, CT 06050-0612
Attn. Lisa M. Bigelow
P.O. Box 612, New Britain, CT 06050-0612
Ship to:
Connecticut Sales Tax Exemption Number: E-7370.
TOTAL
Above Purchase Order Number must appear on all invoices, packages, correspondence and shipping papers.
Send all invoices to the above “Bill to” address. Do NOT send invoices to Central Connecticut State University.
Fund Name:
Fund Administrator Signature
Date
For Foundation Use Only
_____________________________________
CCSU Foundation Authorization Date Debit Fund No:
Fund Name
Fund Administrator Name
Number:
To:
ITEM
DESCRIPTION
UNIT COST
QUANTITY
TOTAL COST
DATE TERMS
SHIP VIA
DATE REQUIRED
SPECIAL DELIVERY INSTRUCTIONS
FEIN: 23-7354328
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