DATE RECEIVED
CARRIER
VENDOR
NO. PKGS
DELIVERED BY
P.O. #
DEL.
TO
DEPT.
ROOM #
UNIVERSITY OF DAYTON CENTRAL RECEIVING DEPARTMENT
RECEIVING & DELIVERY FORM
RECEIVED BY
X
DATE
ORDER STATUS: (Must check one)
COMPLETE
Check box if this shipment completes the order and send form to Purchasing. (No need
P.O.
LINE NO.
OF ITEM
RECEIVED
QUANTITY
RECEIVED
THIS
SHIPMENT
COMMENTS
(Is there a discrepancy? Are returning, substituting, reordering, etc.?)
to complete section at right unless there is a discrepancy)
PARTIAL
Check box if this is a partial shipment and complete this section
for items received in this shipment. Then send form to Purchasing.
If the list of items received is lengthy, attach a copy of the Department P.O. form or
packing Slip and check off the items included in this shipment.
If there is a discrepancy on the Packing Slip (doesn’t match P.O.) you should make notation
in comments section.
If any of the items are to be returned to the vendor you should make notation in the
comments section and attach the Accounts Payable copy of the Return Authorization form.
Contact Purchasing for assistance if there are any questions.
RETURN TO PURCHASING WITH PACKING LIST (+4 zip 1664) for payment processing
ORDER CHECKED BY
X
DATE
TO BE COMPLETED BY CENTRAL RECEIVING
TO BE COMPLETED BY THE DEPARTMENT & FORWARDED TO PURCHASING WITH PACKING LIST
TO BE COMPLETED BY THE DEPARTMENT & FORWARDED TO PURCHASING WITH PACKING LIST